Organization
TALCOTT FOOT&ANKLE SPECIALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J TENCZAR (PRESIDENT)
(773) 594-9700
Entity
Organization
Contact information
Practice address
7447 W TALCOTT, SUITE 214, CHICAGO, IL 60631
(773) 594-9700
(773) 594-0095
Mailing address
7447 W TALCOTT, SUITE 214, CHICAGO, IL 60631
(773) 594-9700
(773) 594-0095
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
060-008508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001380
BCBS PROVIDER#
IL
01
—
CE8840
MEDICARE RR GROUP#
IL
Enumeration date
05/16/2006
Last updated
04/22/2008
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