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Individual

DR. SUMMER EVALYN SCHAAL BOCHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(847) 639-5800
Mailing address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(847) 639-5800
(847) 475-9031

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
970-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005355
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
970-25
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100004663
WI
01
1144472523
NPI
01
1417141227
NPI
05
43260300
WI
Enumeration date
10/16/2008
Last updated
12/07/2021
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