ESSINGTON MEDICAL GROUP INC NPI 1053775593

NPI Information

NPI: 1053775593
Provider Name: ESSINGTON MEDICAL GROUP, INC

Doing Business As: SOUTHSHORE FOOT AND ANKLE SURGERY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1026 ESSINGTON RD
JOLIET, IL
ZIP 60435
Phone: (714) 244-0101
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ESSINGTON MEDICAL GROUP, INC is a foot and ankle surgery podiatrist in Joliet, IL. ESSINGTON MEDICAL GROUP, INC NPI is 1053775593. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southshore Foot And Ankle Surgery.

The provider's business location address is:

1026 ESSINGTON RD
JOLIET, IL
ZIP 60435-841
Phone: (714) 244-0101

The provider's authorized official is An Duy Le .
The authorized official title is Owner and has the following contact phone number (714) 244-0101.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 7/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005698	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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