Organization
ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F GRADY DPM (OWNER)
(708) 424-3201
Entity
Organization
Contact information
Practice address
4650 SOUTHWEST HWY, OAK LAWN, IL 60453-1836
(708) 424-6353
(708) 424-7095
Mailing address
4650 SOUTHWEST HWY, OAK LAWN, IL 60453-1836
(708) 424-6353
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2006
Last updated
04/16/2008
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