Podiatry Consultants Of Chicago | |
30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 | |
(312) 332-0041 | |
(312) 332-2324 |
Full Name | Podiatry Consultants Of Chicago |
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Type | Facility |
Speciality | Podiatrist |
Location | 30 N Michigan Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1154590453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 016003003 (Illinois) | Primary |
Provider Name | Lawrence Marczak |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831129170 PECOS PAC ID: 5496880189 Enrollment ID: I20101208001251 |
Mailing Address | Practice Location Address |
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Podiatry Consultants Of Chicago 30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 Ph: (312) 332-0041 | Podiatry Consultants Of Chicago 30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 Ph: (312) 332-0041 |
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