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NPI Code Detail

MEDICARE: AFFILIATED PODIATRISTS, LTD.

MEDICARE: AFFILIATED PODIATRISTS, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies060-001195IL
2213ES0103XFoot & Ankle Surgery Podiatrist060-001195IL

General Provider Information

NPI Number : 1023002896
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFILIATED PODIATRISTS, LTD.
Provider Business Mailing Address
First Line : 6445 N CENTRAL AVE STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60646-2901
Country : US
Telephone Number : 773-202-8800
Fax Number : 773-631-2461
Provider Business Practice Location Address
First Line : 6445 N CENTRAL AVE STE 301
Second Line :
City : CHICAGO
State : IL
Zip : 60646-2901
Country : US
Telephone Number : 773-202-8800
Fax Number : 773-631-2461
Authorized Official
Title or Position : PRESIDENT
Name : DR. JASON MICHAEL KALK
Credential : DPM
Telephone Number : 773-202-8800
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/07/2025

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1215267414 — RICHARD GEE-FANG WU PTA
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Directions to “AFFILIATED PODIATRISTS, LTD. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.