Organization
EDGEBROOK FOOT & ANKLE CLINIC, INC
Active
Other names
http://www.edgefoot.com
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRATIBHA B PATEL DPM (ADMINSTRATOR)
(773) 792-9300
Entity
Organization
Contact information
Practice address
5330 W DEVON AVE, SUITE 10, CHICAGO, IL 60646-4148
(773) 792-9300
(773) 792-9302
Mailing address
5330 W DEVON AVE, SUITE 10, CHICAGO, IL 60646-4148
(773) 792-9300
(773) 792-9302
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005386
IL
Other
Enumeration date
05/26/2009
Last updated
06/08/2012
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