MIDWAY FOOT AND ANKLE PC NPI 1114464971

NPI Information

NPI: 1114464971
Provider Name: MIDWAY FOOT AND ANKLE PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4254 W 55TH ST
CHICAGO, IL
ZIP 60632
Phone: (773) 582-8900
Get Directions

MIDWAY FOOT AND ANKLE PC is a foot and ankle surgery podiatrist in Chicago, IL. MIDWAY FOOT AND ANKLE PC NPI is 1114464971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4254 W 55TH ST
CHICAGO, IL
ZIP 60632-642
Phone: (773) 582-8900
Fax: (844) 315-9568

The provider's authorized official is Isabel Maria Rojas .
The authorized official title is President and has the following contact phone number (630) 220-1830.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 3/28/2017.

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	016005381	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F100363723	MEDICARE PIN	ILLINOIS

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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