Individual provider · NPI-1

Esra Abu-Esba, dpm

Podiatrist, Foot & Ankle Surgery · Chicago, IL

NPI number1891366928
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1891366928
Entity type
Individual (NPI-1)
Name
Esra Abu-Esba
Credential
dpm
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2021
Certification date
Oct 28, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery016.006066ILYes

Practice location

320 S Ashland Ave
Chicago, IL 60607-2856

Phone 512-740-2498

Mailing address

200 E Chestnut St Apt 1107
Chicago, IL 60611-2322

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