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NPI Code Detail

MEDICARE: BAALTZ MOBILE HEALTH SERVICES INC

MEDICARE: BAALTZ MOBILE HEALTH SERVICES INC
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 Podiatrist016002513IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600204762OTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902131840
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAALTZ MOBILE HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 1226 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4709
Country : US
Telephone Number : 312-243-3769
Fax Number : 312-243-3840
Provider Business Practice Location Address
First Line : 1226 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4709
Country : US
Telephone Number : 312-243-3769
Fax Number : 312-243-3840
Authorized Official
Title or Position : PRESIDENT
Name : DR. FRANK W ZAPPA
Credential : DPM
Telephone Number : 312-243-3769
Provider Enumeration Date : 10/09/2009
Last Update Date : 09/30/2011

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Directions to “BAALTZ MOBILE HEALTH SERVICES INC ” Practice Location

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