Organization
FIRST PODIATRY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHN JAPOUR (DIRECTOR)
(630) 439-4343
Entity
Organization
Contact information
Practice address
24039 W LOCKPORT ST, PLAINFIELD, IL 60544-1652
(815) 254-3338
(815) 436-8367
Mailing address
PO BOX 1482, PLAINFIELD, IL 60544-3482
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004837
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K26003
MEDICARE MEMBER#
IL
Enumeration date
08/31/2007
Last updated
02/11/2015
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