Individual
ESRA ABU-ESBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
320 S ASHLAND AVE, CHICAGO, IL 60607-2856
(512) 740-2498
Mailing address
200 E CHESTNUT ST APT 1107, CHICAGO, IL 60611-2322
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.006066
IL
Other
Enumeration date
07/09/2021
Last updated
10/28/2024
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