| Addison Podiatry Center Pllc | |
|
1250 W Lake St, Addison, IL 60101-5744 | |
| (630) 543-3000 | |
| Not Available |
| Full Name | Addison Podiatry Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1250 W Lake St, Addison, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790351757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Jessica A Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750736195 PECOS PAC ID: 5395039796 Enrollment ID: I20160808002276 |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Podiatry Center Pllc 198 Sunnybrook Rd, Glen Ellyn, IL 60137-6477 Ph: (630) 205-4557 | Addison Podiatry Center Pllc 1250 W Lake St, Addison, IL 60101-5744 Ph: (630) 543-3000 |
Complete Innovative Care Co Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 274 W North Ave, Addison, IL 60101 Phone: 708-586-8391 | |
Magdalena Marcinek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 731 N Rumple Ln, Addison, IL 60101 Phone: 630-935-2815 | |
Dr. Louis Jerome Sanfilippo, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1250 W Lake St, Suite 16, Addison, IL 60101 Phone: 630-543-3000 Fax: 630-543-5910 | |
Pleasant Health Care Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 920 W Stonehedge Dr, Addison, IL 60101 Phone: 312-498-6570 | |
Jessica A Sullivan, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Lake St, Ste 16, Addison, IL 60101 Phone: 630-543-3000 | |
Louis J. Sanfilippo D.p.m. S.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1250 W Lake St, Suite 16, Addison, IL 60101 Phone: 630-543-3000 Fax: 630-543-5910 |