NPI 1003150178

Chicago Foot Clinic, LTD

Organisation Foot & Ankle Surgery Podiatrist Chicago, IL

Practice location

Address: 2801 W Cermak Rd, Chicago, IL 60623-3513
Phone: (773) 376-7200
Fax: (773) 376-9211

Authorised official

Name: Shanin Moshiri
Title: Ceo
Phone: (773) 376-7200

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1003150178
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.