Organization
CHICAGO PODIATRY SERVICES, P.C.
Active
Other names
Chatham Foot Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY COWAN D.P.M. (PRESIDENT)
(773) 978-3338
Entity
Organization
Contact information
Practice address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Mailing address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633823
BLUE CROSS BLUE SHIELD
—
01
—
601015700
DEPARTMENT OF LABOR
—
01
—
DA8100
RAILROAD MEDICARE NUMBER
—
Enumeration date
06/01/2006
Last updated
11/03/2011
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