Organization
ADVANCED FOOT & ANKLE SPECIALISTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY F. OCHWAT DPM (PRESIDENT)
(630) 698-3637
Entity
Organization
Contact information
Practice address
1750 N RANDALL RD, SUITE 160, ELGIN, IL 60123-7900
(630) 698-3637
Mailing address
1750 N RANDALL RD, SUITE 160, ELGIN, IL 60123-7900
(630) 698-3637
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01600357
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005296
IL
Other
Enumeration date
04/16/2010
Last updated
12/07/2021
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