Organization
LAKE ZURICH PODIATRY PC
Active
Other names
Lake Zurich Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JEAN SOSINSKI D.P.M. (PRESIDENT)
(847) 540-0234
Entity
Organization
Contact information
Practice address
950 W MAIN ST, SUITE 105, LAKE ZURICH, IL 60047-3417
(847) 540-0234
(847) 540-0867
Mailing address
950 W MAIN ST, SUITE 105, LAKE ZURICH, IL 60047-3417
(847) 540-0234
(847) 540-0867
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-003263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04927332
BLUE CROSS BLUE SHIELD
—
01
—
480001414
RAILROAD MEDICARE PTAN
—
01
—
DG9348
RAILROAD MEDICARE GROUP PTAN
IL
Enumeration date
03/22/2007
Last updated
10/20/2014
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