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NPI 1609874015 · live from the CMS NPI Registry

Peter B Akerele, D.P.M.

Podiatrist, Foot & Ankle Surgery in Chicago, IL. National Provider Identifier 1609874015, active.

NPI record

NPI1609874015 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location2223 E 79th St, Chicago, IL 60649
Practice phone773-978-2100
Mailing address175 N Harbor Dr, Ste 3906, Chicago, IL 60601
EnumeratedJuly 9, 2005
Last updatedJanuary 25, 2010
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist213E00000X016003216 (IL)
Podiatrist, Foot & Ankle Surgery primary213ES0103X016003216 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.