Organization
SUBURBAN PODIATRY GROUP, PC
Active
Other names
Sugar-Free Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED E HUSS D.P.M. (PRESIDENT)
(773) 274-3338
Entity
Organization
Contact information
Practice address
7008 N CALIFORNIA AVE, STORE FRONT, CHICAGO, IL 60645-3029
(773) 274-3338
(773) 338-8757
Mailing address
7008 N CALIFORNIA AVE, STORE FRONT, CHICAGO, IL 60645-3029
(773) 274-3338
(773) 338-8757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003004
—
IL
Enumeration date
02/13/2007
Last updated
02/14/2013
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