Organization
ADVANCED PODIATRIC SURGERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY DEAN (BILLER)
(800) 485-8640
Entity
Organization
Contact information
Practice address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Mailing address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
06/16/2008
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