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General NPI Number Information
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NPI Number | 1912190349
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Entity Type | Organization
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Legal Business Name | DM FOOT AND ANKLE ASSOCIATES LLC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 14236 MCCARTHY RD
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City | LEMONT
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State | IL
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Zip | 60439-9393
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Country | US
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Telephone | 630-863-7517
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Fax | 630-863-7519
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DIANA M EMINI
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Credential | DPM
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Telephone | 630-863-7517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016.005312
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License Number State | IL
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