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Contact Information

AFFILIATED PODIATRISTS OF ILLINOIS LTD.
350 OAK KNOLL TER
NORTHBROOK, IL60062-1048
 Phone: 847-562-9864
 Fax: 847-562-9865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED PODIATRISTS OF ILLINOIS LTD · (Female)

NPI # 1104981422
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2006
Last updated 11/25/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016-003364
  • IL Medicaid 016003364
  • IL Other 0002215448 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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