Organization
ALLIANCE FOOT & ANKLE CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS JON (GENERAL MANAGER)
(414) 282-7209
Entity
Organization
Contact information
Practice address
2640 SHERIDAN RD, ZION, IL 60099-2615
(847) 746-2922
(847) 746-9344
Mailing address
2640 SHERIDAN RD, ZION, IL 60099-2615
(847) 746-2922
(847) 746-9344
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005682
IL
Other
Enumeration date
07/28/2016
Last updated
07/31/2018
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