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NPI Code Detail

MEDICARE: ALL FAMILY FOOT AND ANKLE LTD

MEDICARE: ALL FAMILY FOOT AND ANKLE 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
1213E00000XPodiatrist060-000475IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1406480247OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
260000161OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1427111392
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL FAMILY FOOT AND ANKLE LTD
Provider Business Mailing Address
First Line : 2124 S AUSTIN BLVD
Second Line :
City : CICERO
State : IL
Zip : 60804-2012
Country : US
Telephone Number : 708-863-5376
Fax Number : 708-863-5375
Provider Business Practice Location Address
First Line : 2124 S AUSTIN BLVD
Second Line :
City : CICERO
State : IL
Zip : 60804-2012
Country : US
Telephone Number : 708-863-5376
Fax Number : 708-863-5375
Authorized Official
Title or Position : PRESIDENT/DOCTOR
Name : LAURA M. LEBEAU
Credential : D.P.M.
Telephone Number : 708-863-6303
Provider Enumeration Date : 12/19/2006
Last Update Date : 09/01/2010

Similar Medicare Providers

1962454017 — DR. LAURA M LEBEAU D.P.M.
Practice Location Address:
2124 S AUSTIN BLVD
CICERO, IL
60804-2012
Practice Phone: 708-863-5376
Practice Fax: 708-863-5375
1174475719 — ATZEL ALBINO MARTINEZ PA-C
Practice Location Address:
5741 W CERMAK RD
CICERO, IL
60804-2129
Practice Phone: 708-222-0100
Practice Fax:
1881169134 — BRACES TOWN PC
Practice Location Address:
3020 S CICERO AVE
CICERO, IL
60804-3638
Practice Phone: 708-863-2000
Practice Fax:
1083428437 — DANIELLE ANTOINETTE PATTERSON
Practice Location Address:
3100 S CENTRAL AVE
CICERO, IL
60804-3956
Practice Phone: 708-863-3803
Practice Fax:
1396548459 — CECILIA IRENE NATERAS
Practice Location Address:
3443 S LOMBARD AVE
CICERO, IL
60804-3704
Practice Phone: 708-334-3270
Practice Fax:
1124988480 — HENDRICKSON HOUSE OF SOBRIETY LLC
Practice Location Address:
2901 S 49TH AVE
CICERO, IL
60804-3634
Practice Phone: 464-927-9879
Practice Fax:

Directions to “ALL FAMILY FOOT AND ANKLE LTD ” Practice Location

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