Organization
PODIATRIC MANAGEMENT SYSTEMS LLC
Active
Other names
Bridgeport Footcare
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTHONY CHARNOTA DPM (PRESIDENT)
(847) 540-9949
Entity
Organization
Contact information
Practice address
537 W 31ST ST, CHICAGO, IL 60616-3294
(312) 842-2230
(312) 842-9737
Mailing address
70 E LAKE ST STE 1102, CHICAGO, IL 60601-7499
(312) 372-1160
(312) 372-3346
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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