Organization
FOOT FIRST PODIATRY CENTERS VPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIE SHUMATE (BILLING)
(309) 762-9242
Entity
Organization
Contact information
Practice address
6969 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2527
(847) 352-9221
Mailing address
1601 W WISE RD, SCHAUMBURG, IL 60193-3554
(847) 352-9221
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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