Organization
CHICAGO FOOT & ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNI MOSHI (CEO)
(773) 376-7200
Entity
Organization
Contact information
Practice address
2801 W CERMAK RD, CHICAGO, IL 60623-3513
(773) 376-7200
(773) 376-9211
Mailing address
2801 W CERMAK RD, CHICAGO, IL 60623-3513
(773) 376-7200
(773) 376-9211
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004154
IL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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