Organization
BATAVIA FOOT CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS CHARLES CASILLAS DPM (PODIATRIST OWNER)
(630) 879-2288
Entity
Organization
Contact information
Practice address
119 S BATAVIA AVE, BATAVIA, IL 60510
(630) 879-2288
(630) 879-2347
Mailing address
119 S BATAVIA AVE, BATAVIA, IL 60510
(630) 879-2288
(630) 879-2347
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003248
—
IL
Enumeration date
03/18/2008
Last updated
06/18/2008
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