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Individual

LIJO JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1108 S KEDZIE AVE, CHICAGO, IL 60612-3935
(773) 722-2712
Mailing address
1108 S KEDZIE AVE, CHICAGO, IL 60612-3935
(773) 722-2712

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135000872
IL

Other

Enumeration date
07/02/2015
Last updated
07/02/2015
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