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Organization

PODIATRY OF ILLINOIS, PC

Active
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Organization

PODIATRY OF ILLINOIS, PC

Active
Parent organization
PODIATRY OF ILLINOIS, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PODIATRY OF ILLINOIS, PC
Authorized official
NICOLE WUNDSAM (PRACTICE ADMINISTRATOR)
(847) 255-5004
Entity
Organization

Contact information

Practice address
6560 W HIGGINS AVE, CHICAGO, IL 60656-2161
(773) 993-0989
Mailing address
6560 W HIGGINS AVE, CHICAGO, IL 60656-2161
(773) 993-0989

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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