Organization · NPI-2
Achilles Heel Ltd
Podiatrist · Chicago, IL
NPI number1902178445
StatusActive
Last updated in NPPESJan 30, 2012
Details
- NPI
- 1902178445
- Entity type
- Organization (NPI-2)
- Legal business name
- Achilles Heel Ltd
- Organization subpart
- No
- Enumeration date
- Jan 30, 2012
- Last updated
- Jan 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 016.004247 | IL | Yes |
Other names
- Achilles Heel INC (Former Legal Business Name)
Practice location
10349 S Western AveChicago, IL 60643-2410
Phone 773-445-3668 · Fax 773-445-6768
Mailing address
10349 S Western AveChicago, IL 60643-2410
Phone 773-445-3668 · Fax 773-445-6768
Authorized official
David Lawrence Kaiser
Owner
7734453668
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