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Contact Information

AUDEY NASSER PODIATRY, PC
731 S IL ROUTE 21 STE 140
GURNEE, IL60031-3812
 Phone: 847-295-9300
 Fax: 847-295-9607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatric

261QP1100X
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AUDEY NASSER PODIATRY, PC

NPI Number 1144695263
LBN Legal business name AUDEY NASSER PODIATRY, PC
Authorized official AUDEY NASSER - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2015
Last updated 01/20/2023 - About 3 years ago
Identifiers
MI License # 5901002505
MI Other MI9259001 MEDICARE PTAN
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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