Organization
ESSINGTON MEDICAL GROUP, INC
Active
Other names
Southshore Foot and ankle surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN DUY LE DPM (OWNER)
(714) 244-0101
Entity
Organization
Contact information
Practice address
1026 ESSINGTON RD, JOLIET, IL 60435-2841
(714) 244-0101
Mailing address
1026 ESSINGTON RD, JOLIET, IL 60435-2841
(714) 244-0101
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005698
IL
Other
Enumeration date
04/11/2016
Last updated
07/27/2016
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