Organization
DR. PHILLIP F. MORREALE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP F MORREALE DPM (PODIATRIST)
(708) 371-2310
Entity
Organization
Contact information
Practice address
6420 W 127TH ST, PALOS HEIGHTS, IL 60463-2269
(708) 371-2310
(708) 371-9015
Mailing address
6420 W 127TH ST, PALOS HEIGHTS, IL 60463-2269
(708) 371-2310
(708) 371-9015
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
162840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480009164
RAIL ROAD MEDICARE
IL
01
—
60000928
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/23/2006
Last updated
03/25/2009
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