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Individual

DONNA J. TOREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4825 N MASON AVE, SUITE 102, CHICAGO, IL 60630-3187
(773) 685-8666
(773) 775-8487
Mailing address
4825 N MASON AVE, SUITE 102, CHICAGO, IL 60630-3187
(773) 685-8666
(773) 775-8487

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003158
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016003158
IL
01
60021218
BC & BS IL
IL
Enumeration date
07/15/2006
Last updated
05/31/2013
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