Organization
THE FOOT PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M WASCHOW D.P.M. (DOCTOR)
(847) 854-8637
Entity
Organization
Contact information
Practice address
331 N RANDALL RD, LAKE IN THE HILLS, IL 60156-5961
(847) 854-8637
(847) 854-6779
Mailing address
331 N RANDALL RD, LAKE IN THE HILLS, IL 60156-5961
(847) 854-8637
(847) 854-6779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004344
IL
Other
Enumeration date
01/15/2008
Last updated
09/23/2011
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