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NPI Code Detail

MEDICARE: DR. JOSHUA HEDMAN DPM

MEDICARE: DR. JOSHUA HEDMAN DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist1751TX
2213ES0103XFoot & Ankle Surgery Podiatrist016005182IL

General Provider Information

NPI Number : 1316911076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA HEDMAN DPM
Provider Business Mailing Address
First Line : 467 W ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-5704
Country : US
Telephone Number : 210-943-7246
Fax Number : 312-944-7246
Provider Business Practice Location Address
First Line : 467 W ERIE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60654-5704
Country : US
Telephone Number : 210-943-7246
Fax Number : 312-944-7246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 07/23/2013

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