Individual
RICHARD W COMMITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2420 S WESTERN AVE, CHICAGO, IL 60608-4705
(773) 523-0001
Mailing address
2422 S WESTERN AVE, CHICAGO, IL 60608-4712
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16-2918
IL
225400000X
Rehabilitation Practitioner
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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