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Individual

AUDEY NASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
731 S IL ROUTE 21 STE 140, GURNEE, IL 60031-3812
(847) 295-9300
(847) 295-9607
Mailing address
731 S IL ROUTE 21 STE 140, GURNEE, IL 60031-3812
(847) 295-9300
(847) 295-9607

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
016005811
IL
213EP1101X
Primary Podiatric Medicine Podiatrist
5901002505
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005811
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002505
MI

Other

Enumeration date
07/23/2013
Last updated
01/20/2023
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