Unknown Individual – Podiatrist, NPI 1306855259
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3077, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States
#204
JOLIET, IL 60435
Phone: (815) 744-2107
Fax: (815) 744-6338
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60435)
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