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Organization
BEB PODIATRY SC
Active
Organization
BEB PODIATRY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BACARDI (PRESIDENT)
(847) 922-4315
Entity
Organization
Contact information
Practice address
36 DEER POINT DR, HAWTHORN WOODS, IL 60047-8010
(847) 922-4315
(847) 725-2155
Mailing address
36 DEER POINT DR, HAWTHORN WOODS, IL 60047-8010
(847) 922-4315
(847) 725-2155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016.003631
IL
Other
Enumeration date
07/30/2012
Last updated
09/04/2012
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