Organization
INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD EL SAMAD DPM (OWNER)
(773) 445-8700
Entity
Organization
Contact information
Practice address
9933 S WESTERN AVE, SUITE 102, CHICAGO, IL 60643-1810
(773) 445-8700
Mailing address
9120 DOUBLETREE DR S, CROWN POINT, IN 46307-7655
(219) 736-1010
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001024
IN
Other
Enumeration date
12/09/2016
Last updated
01/27/2017
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