Organization
PRAIRIE FOOT & ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARY-DANIELLE LEE MM/HRM (PRACTICE ADMINISTRATOR)
(224) 227-6973
Entity
Organization
Contact information
Practice address
2371 BOWES ROAD, SUITE 400, ELGIN, IL 60123
(630) 715-8291
Mailing address
2371 BOWES ROAD, STE 400, ELGIN, IL 60123
(630) 715-8291
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005367
IL
Other
Enumeration date
03/20/2013
Last updated
06/20/2018
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