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Organization
FAMILY FOOT AND ANKLE SURGEONS OF ILLINOIS, LLC
Active
Organization
FAMILY FOOT AND ANKLE SURGEONS OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYIM JOSHUA BARONOFSKY DPM (OWNER)
(773) 368-8493
Entity
Organization
Contact information
Practice address
401 GREENLEAF ST, PARK CITY, IL 60085-5744
(847) 662-0978
Mailing address
3170 N SHERIDAN RD APT 622, CHICAGO, IL 60657-0917
(773) 368-8493
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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