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NPI Code Detail

MEDICARE: FOOT & ANKLE HEALTH CARE CENTER LTD

MEDICARE: FOOT & ANKLE HEALTH CARE CENTER 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 Supplies016004982IL

General Provider Information

NPI Number : 1447397013
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOOT & ANKLE HEALTH CARE CENTER LTD
Provider Business Mailing Address
First Line : 5501 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60641-4130
Country : US
Telephone Number : 773-205-0106
Fax Number :
Provider Business Practice Location Address
First Line : 6037 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2859
Country : US
Telephone Number : 773-585-8003
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. GALINA PODOLSKAYA
Credential : D.P.M.
Telephone Number : 773-585-8003
Provider Enumeration Date : 01/31/2007
Last Update Date : 01/23/2019

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Directions to “FOOT & ANKLE HEALTH CARE CENTER LTD ” Practice Location

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