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General NPI Number Information
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NPI Number | 1619081239
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Entity Type | Organization
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Legal Business Name | ASSOCIATED FOOT SURGEONS OF CHICAGOLAND LTD
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 15 SPINNING WHEEL RD STE 114
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City | HINSDALE
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State | IL
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Zip | 60521-2983
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Country | US
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Telephone | 630-323-1038
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Fax | 630-323-2059
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Provider Business Mailing Address
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Address Line | 15 SPINNING WHEEL RD STE 114
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City | HINSDALE
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State | IL
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Zip | 60521-2983
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Country | US
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Telephone | 630-323-1038
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Fax | 630-323-2059
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Authorized Official
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Title or Position | SECRETARY
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Name | STEVEN N SHARLIN
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Credential | DPM
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Telephone | 630-323-1038
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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 | 060002284
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License Number State | IL
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