| Podiatry Consultants Of Chicago | |
|
30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 | |
| (312) 332-0041 | |
| (312) 332-2324 |
| Full Name | Podiatry Consultants Of Chicago |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 30 N Michigan Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154590453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016003003 (Illinois) | Primary |
| Provider Name | Lawrence Marczak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831129170 PECOS PAC ID: 5496880189 Enrollment ID: I20101208001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Podiatry Consultants Of Chicago 30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 Ph: (312) 332-0041 | Podiatry Consultants Of Chicago 30 N Michigan Ave, Suite 1229, Chicago, IL 60602-3402 Ph: (312) 332-0041 |
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