NPI age
19 years
Enumerated 2006-06-17
Across 957 active podiatrist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 01606583 | BLUE CROSS BLUE SHIELD |
| 05 (IL) | 016005230 | |
| 01 (IL) | 01634377 | BLUE CROSS BLUE SHIELD |
| 01 (IL) | P00319146 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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