Organization
AGONY OF DE-FEET LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY UMANSKY PEDORTHIST (PRESIDENT/MANAGER)
(847) 680-7534
Entity
Organization
Contact information
Practice address
1324 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3795
(847) 680-7534
(847) 680-1338
Mailing address
1324 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3795
(847) 680-7534
(847) 680-1338
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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