Northwest Ambucare

NPI #1811965635 in Chicago, Illinois

Provider Information

NPI Number
1811965635
Entity Type
Organization
Organization Name
Northwest Ambucare
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Mar 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
4040 W PETERSON AVE
ZIP Code
60646-6019
Phone
(773) 267-0554

Authorized Official

Name
MR. TEGAN AUGUSTINE THIMESCH, DPM
Title
PRESIDENT
Phone
(773) 267-0554

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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