Organization
MIDWEST FOOT CARE, LTD.
Active
Other names
Kern Podiatric Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODIE G KERN (CFO)
(773) 924-0262
Entity
Organization
Contact information
Practice address
533 E 29TH, FIRST FLOOR, CHICAGO, IL 60616-3302
(312) 226-5376
(312) 226-9882
Mailing address
PO BOX 5843, CHICAGO, IL 60680-5843
(773) 924-0262
(773) 924-0264
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
060004861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060001401
BLUE CROSS
IL
Enumeration date
02/16/2007
Last updated
03/11/2008
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