Chicago Foot & Orthopedic Clinic
Chicago Foot & Orthopedic Clinic is an Ambulatory Surgical Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
3918 W 63rd StChicago, IL 60629-4604
Phone: (773) 376-7200
Fax: (773) 376-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 016004154 (IL) |
|---|
Record details
| NPI number | 1700123734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amin Mashouf — Administrator · (773) 376-7200 |
| NPI enumerated | January 10, 2013 |
| Last updated in NPPES | January 10, 2013 |
| Mailing address | 2801 W Cermak Rd, Chicago, IL 60623-3513 |
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