Organization
FOOT PHYSICIANS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M WASCHOW D.P.M. (DOCTOR/OWNER)
(847) 838-3338
Entity
Organization
Contact information
Practice address
795 MAIN ST, ANTIOCH, IL 60002-1372
(847) 838-3338
(847) 854-6779
Mailing address
795 MAIN ST, ANTIOCH, IL 60002-1372
(847) 838-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004344
IL
Other
Enumeration date
12/19/2011
Last updated
09/27/2012
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