Individual
DR. NITET CHARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
30 E 15TH ST, #206, CHICAGO HEIGHTS, IL 60411-3459
(708) 755-7871
(708) 756-3263
Mailing address
30 E 15TH ST, #206, CHICAGO HEIGHTS, IL 60411-3459
(708) 755-7871
(708) 756-3263
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004955
—
IL
01
—
01625973
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
01
—
480030086
RAILROAD MEDICARE
IL
Enumeration date
10/19/2007
Last updated
06/09/2008
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