Organization
TERRI L FOSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI L FOSTER DPM (PRESIDENT)
(708) 481-3338
Entity
Organization
Contact information
Practice address
4440 LINCOLN HWY, SUITE 102, MATTESON, IL 60443-2349
(708) 481-3338
(708) 481-8643
Mailing address
4440 LINCOLN HWY, SUITE 102, MATTESON, IL 60443-2349
(708) 481-3338
(708) 481-8643
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060001584
BCBS
IL
01
—
DG3214
RAILROAD MEDICARE
IL
Enumeration date
06/28/2006
Last updated
03/09/2012
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