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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

NPI Number 1619255452
LBN Legal business name ADVANCED PODIATRY CLINICS LTD
Authorized official IGOR DUKAREVICH - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2011
Last updated 12/10/2013 - About 12 years ago
Identifiers
IL License # 016005409
IL Medicaid 016005409
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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