LAKE MI MOBILE DOCTORS P.C. NPI 1992870281

NPI Information

LAKE MI MOBILE DOCTORS, P.C. is a primary podiatric medicine podiatrist in Chicago, IL. LAKE MI MOBILE DOCTORS, P.C. NPI is 1992870281. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mobile Doctors Of Chicago Podiatry.

The provider's business location address is:

3319 N ELSTON AVE
SUITE 100
CHICAGO, IL
ZIP 60618-811
Phone: (773) 751-7200
Fax: (773) 583-4401

The provider's authorized official is Tysyn Contreras .
The authorized official title is Director, Quality Assurance and has the following contact phone number (773) 751-7200.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 10/9/2012.

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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