Organization
FOOT CARE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MARIZAK DPM (PARTNER)
(773) 283-6200
Entity
Organization
Contact information
Practice address
5511 1/2 W MONTROSE, CHICAGO, IL 60641-1331
(773) 283-6200
(773) 283-7578
Mailing address
5511 1/2 W MONTROSE AVE, CHICAGO, IL 60641-1331
(773) 283-6200
(773) 283-7578
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016003003
IL
213E00000X
Podiatrist
0160033252
IL
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003003
—
IL
05
—
016003252
—
IL
Enumeration date
12/14/2006
Last updated
11/17/2011
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