Organization
PRAIRIE FOOT & ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARY-DANIELLE LEE BSHA/MMHRM (PRACTICE ADMINISTRATOR)
(224) 227-6973
Entity
Organization
Contact information
Practice address
7447 WEST TALCOTT AVE, SUITE 406, CHICAGO, IL 60163-3275
(224) 227-6973
(224) 238-3296
Mailing address
7447 W TALCOTT AVE STE 406, CHICAGO, IL 60631-3715
(224) 227-6973
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005367
IL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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