Organization
KONDILES CHICAGOLAND FOOT CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON N KONDILES (OWNER)
(773) 545-3338
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, SUITE LL2, CHICAGO, IL 60634-4444
(773) 545-3338
(773) 545-3788
Mailing address
5600 W ADDISON ST, SUITE LL-002, CHICAGO, IL 60634-4444
(773) 545-3338
(773) 545-3788
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003993
—
IL
Enumeration date
04/03/2007
Last updated
05/04/2021
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