Individual
DOMINIC A. ANDRIACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6309 W 95TH ST, OAK LAWN, IL 60453-2201
(708) 499-3355
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 423-3377
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000584
MO
Other
Enumeration date
04/25/2006
Last updated
07/07/2008
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