Individual
FEYINTOLU MORAYO BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1406 S CHESTNUT DR, MT PROSPECT, IL 60056
(708) 628-4520
(773) 847-4467
Mailing address
2440 S LARAMIE AVE UNIT 50646, CICERO, IL 60804-5147
(708) 628-4520
(773) 847-4467
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005873
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003872
OH
Other
Enumeration date
05/12/2015
Last updated
09/01/2020
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