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Organization

LASHAWN D FREEMAN DPM SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LASHAWN D FREEMAN DPM (OWNER)
(773) 363-5523
Entity
Organization

Contact information

Practice address
1525 E 53RD ST, SUITE 816, CHICAGO, IL 60615-4557
(773) 363-5523
(773) 363-5602
Mailing address
PO BOX 19468, CHICAGO, IL 60619-0468
(773) 363-5523
(773) 363-5602

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005098
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001633214
BLUE CROSS BLUE SHIELD
IL
01
DD6800
RAILROAD MEDICARE
IL
Enumeration date
10/12/2006
Last updated
04/23/2012
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