Organization
PODIATRY IN MOTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE HEIRING DPM (PRESIDENT)
(773) 862-4732
Entity
Organization
Contact information
Practice address
1046 N WOOD ST, #1-R, CHICAGO, IL 60622-7273
(773) 862-4732
(773) 862-4732
Mailing address
1046 N WOOD ST, #1-R, CHICAGO, IL 60622-7273
(773) 862-4732
(773) 862-4732
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001632315
BLUE CROSS
IL
Enumeration date
04/09/2008
Last updated
02/11/2010
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