Organization
KV FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ANN SUMMER MATOUK DPM (PRESIDENT)
(708) 341-6428
Entity
Organization
Contact information
Practice address
629 COLUMBINE AVE, LISLE, IL 60532-2711
(708) 341-6428
Mailing address
629 COLUMBINE AVE, LISLE, IL 60532-2711
(708) 341-6428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005612
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005612
IL
Other
Enumeration date
02/24/2017
Last updated
10/06/2017
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