Organization
PRAIRIE PATH PODIATRY, P.C.
Active
Organization
PRAIRIE PATH PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C. TSANG DPM (PRESIDENT)
(630) 845-3338
Entity
Organization
Contact information
Practice address
4 S 6TH ST, GENEVA, IL 60134-2163
(630) 845-3338
(630) 845-0557
Mailing address
4 S 6TH ST, GENEVA, IL 60134-2163
(630) 845-3338
(630) 845-0557
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
016004771
IL
Other
Enumeration date
10/25/2011
Last updated
01/14/2015
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