Organization
KANE PODIATRY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J MYTYCH D.P.M. (PRESIDENT)
(630) 232-9000
Entity
Organization
Contact information
Practice address
2172 BLACKBERRY DR, SUITE 112, GENEVA, IL 60134-1102
(630) 232-9000
(630) 232-9025
Mailing address
2172 BLACKBERRY DR, SUITE 112, GENEVA, IL 60134-1102
(630) 232-9000
(630) 232-9025
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005082
IL
Other
Enumeration date
02/10/2010
Last updated
09/17/2010
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