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Organization

AURORA FOOT CENTER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHALL G BALDING D.P.M. (PRESIDENT)
(630) 896-5005
Entity
Organization

Contact information

Practice address
356 N LAKE ST, AURORA, IL 60506-4186
(630) 896-5005
(630) 896-5087
Mailing address
356 N LAKE ST, AURORA, IL 60506-4186
(630) 896-5005
(630) 896-5087

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002865
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
406480272
RAIL ROAD MEDICARE
IL
01
60015124
BCBS
IL
Enumeration date
09/19/2007
Last updated
12/16/2008
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