Individual
DR. SOULEYMANE DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135.001086
IL
Other
Enumeration date
06/06/2020
Last updated
07/27/2020
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