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Individual

GARO EMERZIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2111
(847) 375-3000
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004622
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016-004622
IL
Enumeration date
05/16/2006
Last updated
12/09/2021
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