NPI Profile for MIDWEST PODIATRY SERVICES LTD in OAK PARK, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI Number | 1679693865 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/30/2007 | |
| Last updated | 06/15/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MIDWEST PODIATRY SERVICES LTD
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