Organization
ADVANCED PODIATRIC SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHULENGARIAN DPM (SOLE OWNER)
(847) 249-3338
Entity
Organization
Contact information
Practice address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Mailing address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
(847) 249-3338
(847) 249-8218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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