Organization
CHICAGO PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNAH BACCHUS (CO-OWNER)
(260) 580-3677
Entity
Organization
Contact information
Practice address
4700 W 95TH ST STE 203, OAK LAWN, IL 60453-2574
(708) 274-7876
Mailing address
11155 KAREN DR, ORLAND PARK, IL 60467-4481
(260) 580-3677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
07/02/2024
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