Organization
IN BALANCE PODIATRY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHN SEDORY D. P. M. (PRESIDENT)
(708) 352-5121
Entity
Organization
Contact information
Practice address
132 N CATHERINE AVE, LA GRANGE, IL 60525-1828
(708) 352-5121
Mailing address
PO BOX 2382, LA GRANGE, IL 60525-8482
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003538
—
IL
Enumeration date
06/23/2006
Last updated
01/09/2012
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