Organization
ADVANCED PODIATRY CLINICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR DUKAREVICH DPM (MEDICAL DIRECTOR)
(708) 450-0705
Entity
Organization
Contact information
Practice address
1835 N 19TH AVE, SUITE 102, MELROSE PARK, IL 60160-2040
(708) 450-0705
(708) 345-0423
Mailing address
1835 N 19TH AVE, SUITE 102, MELROSE PARK, IL 60160-2040
(708) 450-0705
(708) 345-0423
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005409
—
IL
Enumeration date
07/27/2011
Last updated
12/10/2013
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