Organization
A STEP AHEAD FOOTCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART BEAVER DPM (PODIATRIST)
(630) 257-9000
Entity
Organization
Contact information
Practice address
15531 E 127TH ST, LEMONT, IL 60439-8555
(630) 257-9000
(630) 257-9399
Mailing address
15531 E 127TH ST, LEMONT, IL 60439-8555
(630) 257-9000
(630) 257-9399
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60000990
BCBS OF IL
IL
Enumeration date
08/23/2007
Last updated
03/24/2009
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