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INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY OF ILLINOIS NPI 1134663172


NPI Information

NPI: 1134663172
Provider Name: INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY OF ILLINOIS
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
9933 S WESTERN AVE
SUITE 102
CHICAGO, IL
ZIP 60643
Phone: (773) 445-8700
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INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY OF ILLINOIS is a foot and ankle surgery podiatrist in Chicago, IL. INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY OF ILLINOIS NPI is 1134663172. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9933 S WESTERN AVE
SUITE 102
CHICAGO, IL
ZIP 60643-810
Phone: (773) 445-8700

The provider's authorized official is Ahmad El Samad .
The authorized official title is Owner and has the following contact phone number (773) 445-8700.

The enumeration date for this NPI number is 12/9/2016 and was last updated on 1/27/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery07001024INDIANAYes

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

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