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General NPI Number Information
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NPI Number | 1306114236
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Entity Type | Organization
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Legal Business Name | SKOKIE FOOT & ANKLE SPECIALISTS, LTD.
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 9933 LAWLER AVE SUITE 315
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City | SKOKIE
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State | IL
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Zip | 60077-3703
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Country | US
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Telephone | 847-675-3400
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Fax | 847-725-0070
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Provider Business Mailing Address
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Address Line | 9933 LAWLER AVE SUITE 315
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City | SKOKIE
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State | IL
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Zip | 60077-3703
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Country | US
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Telephone | 847-675-3400
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Fax | 847-725-0070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN B. MILLER
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Credential |
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Telephone | 773-425-4613
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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 | 016-004990
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License Number State | IL
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