Organization
KT PODIATRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN TRUNCALE DPM (PODIATRIC PHYSICIAN / MANAGER)
(847) 406-9053
Entity
Organization
Contact information
Practice address
1710 W NORTH AVE, CHICAGO, IL 60622-2125
(847) 406-9053
Mailing address
1710 W NORTH AVE, CHICAGO, IL 60622-2125
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005591
IL
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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