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NPI Code Detail

MEDICARE: DR. JENNIFER M. FELSKE D.P.M.

MEDICARE: DR. JENNIFER M. FELSKE D.P.M.
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
1213E00000XPodiatristIL

General Provider Information

NPI Number : 1801897566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER M. FELSKE D.P.M.
Provider Business Mailing Address
First Line : 327 GUNDERSEN DR
Second Line : SUITE A
City : CAROL STREAM
State : IL
Zip : 60188-2402
Country : US
Telephone Number : 630-665-9155
Fax Number : 630-665-5557
Provider Business Practice Location Address
First Line : 327 GUNDERSEN DR
Second Line : SUITE A
City : CAROL STREAM
State : IL
Zip : 60188-2402
Country : US
Telephone Number : 630-665-9155
Fax Number : 630-665-5557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/09/2007

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