Doctor Name: | DR. NITET CHARO |
NPI Number: | 1245429802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 016004955 |
Business Practice Address: | 30 E 15th St #206 Chicago Heights, IL - 604113459 |
Business Phone Number: | 7087557871 |
Business Fax Number: | 7087563263 |
Mailing Address: | 30 E 15th St, #206 CHICAGO HEIGHTS |
State: | IL |
Postal Code: | 604113459 |
Phone Number: | 7087557871 |
Fax Number: | 7087563263 |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016004955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |