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Contact Information

COMPLETE INNOVATIVE CARE CO
274 W NORTH AVE
ADDISON, IL60101-4910
 Phone: 708-586-8391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COMPLETE INNOVATIVE CARE CO · (Female)

NPI Number 1003632126
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2024
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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