Organization
FOOTWISE PODIATRY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M. MARTINO D.P.M. (PRESIDENT)
(847) 837-1076
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, SUITE # A6700, CHICAGO, IL 60640-5759
(847) 837-1076
(847) 837-9228
Mailing address
PO BOX 460, LIBERTYVILLE, IL 60048-0460
(847) 837-1076
(847) 837-9228
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004178
IL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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