Organization
EASTERN PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN TAJERSTEIN D.P.M. (OWNER)
(718) 972-5000
Entity
Organization
Contact information
Practice address
8080 S HARLEM AVE, BRIDGEVIEW, IL 60455-1570
(718) 972-5000
Mailing address
2635 W JARLATH ST, CHICAGO, IL 60645-1422
(718) 972-5000
(718) 972-3774
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005549
IL
Other
Enumeration date
03/12/2013
Last updated
06/20/2016
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