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Contact Information

ADVANCED PODIATRY CLINICS LTD
1835 N 19TH AVE
SUITE 102
MELROSE PARK, IL60160-2040
 Phone: 708-450-0705
 Fax: 708-345-0423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED PODIATRY CLINICS LTD · (Female)

NPI # 1619255452
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2011
Last updated 12/10/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016005409
  • IL Medicaid 016005409
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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