Organization
FAMILY FOOT AND ANKLE SURGEONS OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYIM JOSHUA BARONOFSKY DPM (OWNER)
(773) 368-8493
Entity
Organization
Contact information
Practice address
401 GREENLEAF ST, PARK CITY, IL 60085-5744
(847) 662-0978
Mailing address
3170 N SHERIDAN RD APT 622, CHICAGO, IL 60657-0917
(773) 368-8493
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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