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General NPI Number Information
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NPI Number | 1346961323
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Entity Type | Organization
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Legal Business Name | CHICAGO MOBILE FOOT CARE LIMITED
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 5310 N SHERIDAN RD STE 1
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City | CHICAGO
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State | IL
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Zip | 60640-2515
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Country | US
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Telephone | 773-205-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 5310 N SHERIDAN RD STE 1
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City | CHICAGO
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State | IL
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Zip | 60640-2515
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Country | US
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Telephone | 773-205-0106
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAMIA MAJID
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Credential |
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Telephone | 630-303-7184
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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 |
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License Number State |
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