Provider Demographics
NPI:1033481627
Name:CHASE, KARI LEANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:LEANN
Last Name:CHASE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2500 RIDGE AVE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-2455
Mailing Address - Country:US
Mailing Address - Phone:847-475-9030
Mailing Address - Fax:847-475-9031
Practice Address - Street 1:2500 RIDGE AVE
Practice Address - Street 2:SUITE #110
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-2455
Practice Address - Country:US
Practice Address - Phone:847-475-9030
Practice Address - Fax:847-475-9031
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL016005480213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery