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Organization

ON SMALL FEET, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH PONDEL-PETROPOULOS PT (PRESIDENT)
(847) 917-5210
Entity
Organization

Contact information

Practice address
6N406 BAKER DR, ITASCA, IL 60143-1936
(847) 917-5210
(847) 481-0232
Mailing address
6N406 BAKER DR, ITASCA, IL 60143-1936
(847) 917-5210
(847) 481-0232

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004532188
BLUE CROSS BLUE SHIELD
IL
01
0007153719
AETNA
IL
Enumeration date
09/17/2006
Last updated
05/28/2025
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