Individual
BARRY W MINEROF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3935 W 26TH ST, CHICAGO, IL 60623-3706
(773) 762-2000
(773) 762-3350
Mailing address
3935 W 26TH ST, CHICAGO, IL 60623-3706
(773) 762-2000
(773) 762-3350
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236961
HARMONY HEALTH
IL
01
—
480024746
RAILROAD MEDICARE
IL
01
—
60010797
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2007
Last updated
01/25/2011
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