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Organization

PAM EERNISSE DPM SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAM ANN EERNISSE DPM (OWNER)
(708) 594-3500
Entity
Organization

Contact information

Practice address
9050 W 81ST ST, JUSTICE, IL 60458-1350
(708) 325-1050
(708) 594-3526
Mailing address
9050 W 81ST ST, JUSTICE, IL 60458-1350
(708) 594-3500
(708) 594-3526

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004918
IL
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/26/2007
Last updated
12/06/2012
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