Organization
JAMES G ELIPAS DPM PC
Active
Other names
Ankle & Foot Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G ELIPAS DPM (PRESIDENT OWNER)
(773) 853-0081
Entity
Organization
Contact information
Practice address
6304 N NAGLE AVE, CHICAGO, IL 60646-3614
(773) 853-0081
(773) 853-2970
Mailing address
6304 N NAGLE AVE, CHICAGO, IL 60646-3614
(773) 853-0081
(773) 853-2970
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001157
BC/BS OF ILLINOIS
IL
Enumeration date
02/27/2007
Last updated
06/04/2013
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