A Step Ahead Footcare, PC
Podiatrist in Lemont, IL. Organization (NPI-2).
NPI number1649463589
StatusActive
Last updated in NPPESMar 24, 2009
Details
- NPI
- 1649463589
- Entity type
- Organization (NPI-2)
- Legal business name
- A Step Ahead Footcare, PC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2007
- Last updated
- Mar 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
15531 E 127th StLemont, IL 60439-8555
Phone 630-257-9000 · Fax 630-257-9399
Mailing address
15531 E 127th StLemont, IL 60439-8555
Phone 630-257-9000 · Fax 630-257-9399
Authorized official
Bart Beaver
Podiatrist
6302579000
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