# ADVANCED PODIATRIC SURGICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871722918
- **Authorized official:** JACK CHULENGARIAN DPM (SOLE OWNER)
- **Authorized official phone:** (847) 249-3338

## Contact information

- **Practice address:** 1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
- **Practice address phone:** (847) 249-3338
- **Practice address fax:** (847) 249-8218
- **Mailing address:** 1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
- **Mailing address phone:** (847) 249-3338
- **Mailing address fax:** (847) 249-8218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009