Organization
BLYUMIN FOOT & ANKLE CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID BLYUMIN D.P.M. (DR./OWNER)
(773) 743-5100
Entity
Organization
Contact information
Practice address
1405 W. MORSE AVE., CHICAGO, IL 60626
(773) 743-5100
(773) 743-0932
Mailing address
1405 W. MORSE AVE., CHICAGO, IL 60626
(773) 743-5100
(773) 743-0932
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004759
—
IL
Enumeration date
09/08/2006
Last updated
08/27/2008
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