| Podomedik Llc | |
|
2634 Grand Ave Ste 102a, Waukegan, IL 60085-2459 | |
| (847) 249-3888 | |
| Not Available |
| Full Name | Podomedik Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2634 Grand Ave Ste 102a, Waukegan, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215043310 | NPI | - | NPPES |
| 43241500 | Medicaid | WI | |
| 30-6095164 | Other | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 911025 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Podomedik Llc 2634 Grand Ave Ste 102a, Waukegan, IL 60085-2459 Ph: (847) 249-3888 | Podomedik Llc 2634 Grand Ave Ste 102a, Waukegan, IL 60085-2459 Ph: (847) 249-3888 |
Dr. Jack Robert Chulengarian, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Green Bay Rd, Waukegan, IL 60085 Phone: 847-249-3338 | |
Dr. David Brian Hiltzik, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1720 Grand Ave, Waukegan, IL 60085 Phone: 847-336-3338 Fax: 847-336-0683 | |
Dr. Pratibha B Patel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8000 | |
Dr. Marisenda Benitez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2504 Washington St, Suite 505, Waukegan, IL 60085 Phone: 847-336-9930 Fax: 847-336-9937 | |
Andersonmont Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Green Bay Rd, Waukegan, IL 60085 Phone: 847-249-3338 Fax: 847-249-8218 | |
Alameda Foot Centers Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1508 Grand Ave, Waukegan, IL 60085 Phone: 773-237-1122 Fax: 773-237-1222 |