Organization
SOUTH SHORE FOOT AND ANKLE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER AKERELE DPM (OWNER)
(773) 978-2100
Entity
Organization
Contact information
Practice address
2223 E 79TH ST, CHICAGO, IL 60649-5016
(773) 978-2100
Mailing address
2223 E 79TH STREET, CHICAGO , IL. 60649, CHICAGO, IL 60649
(773) 978-2100
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
08/11/2023
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