Organization
ALL FAMILY FOOT AND ANKLE LTD
Active
Other names
All Family Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M. LEBEAU D.P.M. (PRESIDENT/DOCTOR)
(708) 863-6303
Entity
Organization
Contact information
Practice address
2124 S AUSTIN BLVD, CICERO, IL 60804-2012
(708) 863-5376
(708) 863-5375
Mailing address
2124 S AUSTIN BLVD, CICERO, IL 60804-2012
(708) 863-5376
(708) 863-5375
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060-000475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406480247
RAILROAD MEDICARE
IL
01
—
60000161
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/19/2006
Last updated
09/01/2010
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