| Advanced Podiatry | |
|
7355 Archer Ave, Suite D, Summit, IL 60501-1225 | |
| (773) 229-8200 | |
| (773) 229-9752 |
| Full Name | Advanced Podiatry |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 7355 Archer Ave, Summit, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881745388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark J Gagnon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043261282 PECOS PAC ID: 7315987245 Enrollment ID: I20050510000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Podiatry 7355 Archer Ave, Suite D, Summit, IL 60501-1225 Ph: (773) 229-8200 | Advanced Podiatry 7355 Archer Ave, Suite D, Summit, IL 60501-1225 Ph: (773) 229-8200 |
Dr. Mark James Gagnon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7355 Archer Ave, Unit D, Summit, IL 60501 Phone: 773-229-8200 Fax: 773-229-9752 | |
Rafati Foot And Ankle Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7604 W 63rd St, Summit, IL 60501 Phone: 219-688-6292 | |
Mark J. Gagnon, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7355 Archer Ave, Suite D, Summit, IL 60501 Phone: 773-229-8200 Fax: 773-229-9752 |