Individual
ANDREA LUISA PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
(312) 640-4496
Mailing address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
(312) 640-4496
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005323
IL
213E00000X
Podiatrist
PO3449
FL
Other
Enumeration date
06/20/2008
Last updated
01/11/2011
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