Organization
PERNS FOOT AND ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT A. PERNS DPM (PRESIDENT)
(773) 836-9900
Entity
Organization
Contact information
Practice address
3115 N HARLEM AVE, SUITE 200, CHICAGO, IL 60634-4684
(773) 836-9900
(773) 836-9935
Mailing address
3115 N HARLEM AVE, SUITE 200, CHICAGO, IL 60634-4684
(773) 836-9900
(773) 836-9935
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002468
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016002468
—
IL
Enumeration date
01/18/2007
Last updated
10/29/2007
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