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Organization

PODIATRY OF GREATER CHICAGO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIJANA MIRKOVIC DPM (OWNER)
(262) 960-0516
Entity
Organization

Contact information

Practice address
1406 S CHESTNUT DR, MT PROSPECT, IL 60056-4520
(708) 320-1510
(773) 847-4467
Mailing address
6220 W IRVING PARK RD, CHICAGO, IL 60634-3070
(262) 960-0516

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588075584
IL
Enumeration date
01/24/2022
Last updated
03/07/2023
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