Organization
COMPLETE INNOVATIVE CARE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD USMAN (CEO)
(708) 586-8391
Entity
Organization
Contact information
Practice address
274 W NORTH AVE, ADDISON, IL 60101-4910
(708) 586-8391
Mailing address
5475 BROADWAY # 311, MERRILLVILLE, IN 46410-1647
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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