Organization
SUBURBAN FOOT PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA A GOSZKOWICZ DPM (PRESIDENT)
(708) 562-1123
Entity
Organization
Contact information
Practice address
10442 W CERMAK RD, WESTCHESTER, IL 60154-5201
(708) 562-1123
(708) 562-1225
Mailing address
10442 W CERMAK RD, WESTCHESTER, IL 60154-5201
(708) 562-1123
(708) 562-1225
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623487
BC/BS SFP #
IL
Enumeration date
05/16/2006
Last updated
02/07/2008
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