Organization
INSTEP PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA MARTINEZ (OFFICE MANAGER)
(630) 462-1470
Entity
Organization
Contact information
Practice address
200 E WILLOW AVE, WHEATON, IL 60187-5463
(630) 462-1470
(630) 462-9223
Mailing address
200 E WILLOW AVE, WHEATON, IL 60187-5463
(630) 462-1470
(630) 462-9223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001140
BCBS PROVIDER NUMBER
IL
Enumeration date
03/14/2007
Last updated
09/30/2010
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