Individual
DR. ANNETTE R. BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11601 S PULASKI RD, WORTH TOWNSHIP CLINIC, ALSIP, IL 60803-1611
(708) 371-3393
(708) 371-2542
Mailing address
11601 S PULASKI RD, WORTH TOWNSHIP CLINIC, ALSIP, IL 60803-1611
(708) 371-3393
(708) 371-2542
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480007120
RAILROAD MEDICARE
IL
01
—
6000166347
BLUE CROSS BLUE SHIELD
IL
01
—
IL3149
MEDICARE PTAN
IL
Enumeration date
09/07/2006
Last updated
07/16/2014
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