Individual
ANDREW BENEDICT O'KEEFE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6374 N LINCOLN AVE, STE 314, CHICAGO, IL 60659-1275
(773) 866-9800
(773) 866-1733
Mailing address
6374 N LINCOLN AVE, STE 314, CHICAGO, IL 60659-1275
(773) 866-9800
(773) 866-1733
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016-004954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001623503
BCBS
IL
05
—
016004954
—
IL
01
—
1208030001
DMERC
IL
01
—
P00315818
RAILROAD MEDICARE
IL
Enumeration date
06/23/2005
Last updated
03/02/2012
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