Organization
ATA HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER AKERELE DPM (PRESIDENT)
(773) 978-2100
Entity
Organization
Contact information
Practice address
175 N HARBOR DR, SUITE 3906, CHICAGO, IL 60601-7344
(773) 978-2100
(773) 978-1568
Mailing address
175 N HARBOR DR, SUITE 3906, CHICAGO, IL 60601-7344
(773) 978-2100
(773) 978-1568
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001189
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/24/2007
Last updated
08/22/2020
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