Provider Demographics
NPI:1346961323
Name:CHICAGO MOBILE FOOT CARE LIMITED
Entity Type:Organization
Organization Name:CHICAGO MOBILE FOOT CARE LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-303-7184
Mailing Address - Street 1:69 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1180
Mailing Address - Country:US
Mailing Address - Phone:312-375-6430
Mailing Address - Fax:
Practice Address - Street 1:5950 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-2424
Practice Address - Country:US
Practice Address - Phone:773-205-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty