PROFESSIONAL FOOT CARE SPECIALISTS P.C. NPI 1063615557

NPI Information

PROFESSIONAL FOOT CARE SPECIALISTS, P.C. is a primary podiatric medicine podiatrist in Chicago, IL. PROFESSIONAL FOOT CARE SPECIALISTS, P.C. NPI is 1063615557. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5241 S CICERO AVE
SUITE 103
CHICAGO, IL
ZIP 60632-967
Phone: (773) 284-8811
Fax: (773) 284-6431

The provider's authorized official is Matthew George Garoufalis .
The authorized official title is President and has the following contact phone number (773) 284-8811.

The CLIA number assigned to this NPI record is 14D1015491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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