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General NPI Number Information
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NPI Number | 1760201677
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND FOOT AND ANKLE, PC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 8145 N MILWAUKEE AVE
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City | NILES
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State | IL
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Zip | 60714-2828
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Country | US
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Telephone | 847-470-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 3260 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-2729
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT J SHEFFEY
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Credential | DPM
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Telephone | 773-239-0702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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