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Individual

MANSOOR VIRANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
638 N ADDISON RD, VILLA PARK, IL 60181-1419
(630) 279-7703
(630) 279-7704
Mailing address
638 N ADDISON RD, VILLA PARK, IL 60181-1419
(630) 279-7703
(630) 279-7704

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-04581
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669487146
NPI
IL
Enumeration date
07/30/2006
Last updated
03/17/2018
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