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General NPI Number Information
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NPI Number | 1497888705
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Entity Type | Organization
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Legal Business Name | INSTEP FOOT AND ANKLE CENTER, P.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/02/2007
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Provider Practice Location Address
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Address Line | 163 S OAK PARK AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2901
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Country | US
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Telephone | 708-386-4220
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Fax | 708-386-4837
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Provider Business Mailing Address
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Address Line | 163 S OAK PARK AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2901
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Country | US
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Telephone | 708-386-4220
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Fax | 708-386-4837
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA K RECHKEMMER
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Credential | D.P.M.
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Telephone | 630-462-1470
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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 | IL
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