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Organization
TUCKER FOOT AND ANKLE LLC
Active
Organization
TUCKER FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNELL SARAH TUCKER DPM (OWNER/PODIATRIST)
(847) 775-9151
Entity
Organization
Contact information
Practice address
4808 SUNSET LN, COUNTRY CLUB HILLS, IL 60478-4574
(847) 775-9151
Mailing address
4808 SUNSET LN, COUNTRY CLUB HILLS, IL 60478-4574
(847) 775-9151
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005551
IL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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