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General NPI Number Information
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NPI Number | 1164678132
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Entity Type | Organization
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Legal Business Name | OAK LAWN FOOT & ANKLE CENTER, P.C.
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 11/21/2008
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Provider Practice Location Address
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Address Line | 4603 W 103RD ST
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City | OAK LAWN
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State | IL
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Zip | 60453-4718
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Country | US
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Telephone | 708-636-7677
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Fax | 708-636-3137
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Provider Business Mailing Address
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Address Line | 4603 W 103RD ST
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City | OAK LAWN
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State | IL
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Zip | 60453-4718
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Country | US
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Telephone | 708-636-7677
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Fax | 708-636-3137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID EMANUEL FINKELSTEIN
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Credential | DPM
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Telephone | 708-636-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016004567
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License Number State | IL
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