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Organization
ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C.
Active
Organization
ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATARZYNA NIETUPSKI D.P.M. (OWNER)
(630) 699-5089
Entity
Organization
Contact information
Practice address
5485 N MILWAUKEE AVE, CHICAGO, IL 60630-1249
(773) 763-6655
(773) 763-5117
Mailing address
557 N PLAMONDON DR, ADDISON, IL 60101-1933
(630) 699-5089
(914) 459-0062
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005453
IL
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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