| Rafati Foot And Ankle Clinic Llc | |
|
7604 W 63rd St, Summit, IL 60501-1812 | |
| (219) 688-6292 | |
| Not Available |
| Full Name | Rafati Foot And Ankle Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 7604 W 63rd St, Summit, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104338516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016005230 (Illinois) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005230 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Rafati Foot And Ankle Clinic Llc 9340 Lochwood Pl, Tinley Park, IL 60487-4797 Ph: (219) 688-6292 | Rafati Foot And Ankle Clinic Llc 7604 W 63rd St, Summit, IL 60501-1812 Ph: (219) 688-6292 |
Dr. Mark James Gagnon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7355 Archer Ave, Unit D, Summit, IL 60501 Phone: 773-229-8200 Fax: 773-229-9752 | |
Mark J. Gagnon, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7355 Archer Ave, Suite D, Summit, IL 60501 Phone: 773-229-8200 Fax: 773-229-9752 | |
Advanced Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 7355 Archer Ave, Suite D, Summit, IL 60501 Phone: 773-229-8200 Fax: 773-229-9752 |