| Chicago Podiatry Pllc | |
|
4700 W 95th St Ste 203, Oak Lawn, IL 60453-2574 | |
| (708) 274-7876 | |
| Not Available |
| Full Name | Chicago Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4700 W 95th St Ste 203, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235917238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Jannah Bacchus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437505492 PECOS PAC ID: 3678800679 Enrollment ID: I20220221000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Podiatry Pllc 11155 Karen Dr, Orland Park, IL 60467-4481 Ph: (260) 580-3677 | Chicago Podiatry Pllc 4700 W 95th St Ste 203, Oak Lawn, IL 60453-2574 Ph: (708) 274-7876 |
Dr. Sonia Goyal, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5716 W 95th St, Oak Lawn, IL 60453 Phone: 708-576-8814 | |
Dr. Darshan Nagesh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9400 S Cicero Ave Ste 100, Oak Lawn, IL 60453 Phone: 708-424-3201 Fax: 708-424-5001 | |
Courtney Gaines, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5682 | |
Sarah Kaye Mahowald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4650 Southwest Hwy, Oak Lawn, IL 60453 Phone: 708-424-3201 Fax: 708-424-5001 | |
Ms. Kathryn E La Violette, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9400 S Cicero Ave Ste 100, Oak Lawn, IL 60453 Phone: 708-424-3201 Fax: 708-424-5001 | |
Oak Lawn Foot & Ankle Center, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 4603 W 103rd St, Oak Lawn, IL 60453 Phone: 708-636-7677 Fax: 708-636-3137 | |
Trevor Charles Smolinski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4650 Sw Hwy, Oak Lawn, IL 60453 Phone: 708-424-3201 |