Organization Name: | JAMES J. NUZZO DPM SC |
NPI Number: | 1275777674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES NUZZO (PODIATRIST) |
Mailing Address: | 1000 E Northwest Hwy Mt Prospect |
State: | IL US |
Postal Code: | 600563445 |
Phone Number: | 8474835252 |
Fax Number: | 8474835255 |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016002553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |