CRAWFORD SURGICARE
Ambulatory Health at Pulaski Rd, Chicago, IL

License number
Illinois 016004485
Category
Ambulatory Health
Type
Podiatric
Owner
Name: DR. WALTER JACOBSEN DPM
Title: PRESIDENT
Phone: (773) 582-7100
Address
Address
6441 S Pulaski Rd, Chicago, IL 60629
National Provider ID: 1508031295
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRAWFORD SURGICARE, INC

Chicago, IL

Industry:
Podiatrist's Office
Doing business as:
Crawford Surgicare
Registration:
Mar 18, 2004
Addresses:
Chicago, IL 60629 (Physical)
6441 S Pulaski Rd, Chicago, IL 60629
State ID:
63428973
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
President, Principal, Surgical Podiatrist:
Walter Jacobsen (President, Principal, Surgical Podiatrist)

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