Organization
MIKLOS FOOT AND ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C MIKLOS DPM (PODIATRIST)
(773) 586-5487
Entity
Organization
Contact information
Practice address
6634 W ARCHER AVE, CHICAGO, IL 60638-2408
(773) 586-5487
(773) 586-9523
Mailing address
6634 W ARCHER AVE, CHICAGO, IL 60638-2408
(773) 586-5487
(773) 586-9523
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003168
—
IL
01
—
7061150001
MEDICARE DME
IL
Enumeration date
12/01/2008
Last updated
08/06/2015
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