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NPI Code Detail

MEDICARE: FOOT CARE CONSULTANTS

MEDICARE: FOOT CARE CONSULTANTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist016003003IL
2213E00000XPodiatrist0160033252IL
3213E00000XPodiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689736985
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOT CARE CONSULTANTS
Provider Business Mailing Address
First Line : 5511 1/2 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-1331
Country : US
Telephone Number : 773-283-6200
Fax Number : 773-283-7578
Provider Business Practice Location Address
First Line : 5511 1/2 W MONTROSE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-1331
Country : US
Telephone Number : 773-283-6200
Fax Number : 773-283-7578
Authorized Official
Title or Position : PARTNER
Name : DR. LAWRENCE MARIZAK
Credential : DPM
Telephone Number : 773-283-6200
Provider Enumeration Date : 12/14/2006
Last Update Date : 11/17/2011

Similar Medicare Providers

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Practice Location Address:
5545 W MONTROSE AVE
CHICAGO, IL
60641-1331
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Practice Fax: 773-282-6965
1861421950 — CHICAGO HEALTH AND PHYSICAL THERAPY CENTER SC
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1023107422 — MISS JACLYN M DIGIACOMO LPT
Practice Location Address:
5545 W MONTROSE AVE
CHICAGO, IL
60641-1331
Practice Phone: 773-282-6648
Practice Fax: 773-282-6965
1487858130 — SUSAN FOX-LARKIN LCS
Practice Location Address:
5545 W MONTROSE AVE
CHICAGO, IL
60641-1331
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1265636914 — JULIE VALKANET LMT
Practice Location Address:
5545 W MONTROSE AVE
CHICAGO, IL
60641-1331
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1770775793 — MS. ALLISON SCHACHT PTA
Practice Location Address:
5545 W MONTROSE AVE
CHICAGO, IL
60641-1331
Practice Phone: 773-282-6648
Practice Fax: 773-282-6965

Directions to “FOOT CARE CONSULTANTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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