Bridgeview Foot And Ankle, P.C.
Clinic/Center, Podiatric in Bridgeview, IL. Organization (NPI-2).
NPI number1972936631
StatusActive
Last updated in NPPESMay 27, 2014
Details
- NPI
- 1972936631
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgeview Foot And Ankle, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 16, 2013
- Last updated
- May 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | 016005387 | IL | Yes |
Practice location
7255 W 87th St Unit 1Bridgeview, IL 60455-1821
Phone 708-477-6512
Mailing address
7255 W 87th St Unit 1Bridgeview, IL 60455-1821
Phone 708-477-6512
Authorized official
Marwa Sayed
Dpm/President
7084468158
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