NPI 1003632126

Complete Innovative Care Co

Organisation Foot & Ankle Surgery Podiatrist Addison, IL

Practice location

Address: 274 W North Ave, Addison, IL 60101-4910
Phone: (708) 586-8391
Mailing address: 5475 Broadway # 311, Merrillville, IN 46410-1647

Authorised official

Name: Mohammad Usman
Title: Ceo
Phone: (708) 586-8391

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Illinois →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Registry record

NPI: 1003632126
Entity type: Organization
NPI issued: 25 Nov 2024
Record last updated: 25 Nov 2024

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.