Whalio Doctors

NPI 1467907741

Foot & Ankle Healthcare Center LTD

Organisation Non-Pharmacy Dispensing Site Chicago, IL

Practice location

Address
5501 W Belmont Ave, Chicago, IL 60641-4130
Phone
(609) 703-5097

Authorised official

Name
Vadim Goshko
Title
Owner
Phone
(773) 205-0106

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 016004989 (IL)

Registry record

NPI
1467907741
Entity type
Organization
NPI issued
17 Aug 2016
Record last updated
19 Dec 2018

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.