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Contact Information

ALEKSANDR KOMAROV DPM LLC
1360 N LAKE SHORE DR APT 708
CHICAGO, IL60610-8442
 Phone: 248-787-3625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALEKSANDR KOMAROV DPM LLC

NPI Number 1275964918
LBN Legal business name ALEKSANDR KOMAROV DPM LLC
Authorized official ALEKSANDR KOMAROV - (CEO, SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2013
Last updated 10/10/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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