NPI 1790351757
Addison Podiatry Center PLLC
Practice location
- Address
- 1250 W Lake St, Addison, IL 60101-5744
- Phone
- (630) 543-3000
- Mailing address
- 198 Sunnybrook Rd, Glen Ellyn, IL 60137-6477
Authorised official
- Name
- Jessica Sullivan
- Title
- Doctor of Podiatric Medicine
- Phone
- (630) 205-4557
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1790351757
- Entity type
- Organization
- NPI issued
- 1 Jun 2021
- Record last updated
- 1 Jun 2021
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.