PRAIRIE FOOT & ANKLE P.C. NPI 1346752656

NPI Information

NPI: 1346752656
Provider Name: PRAIRIE FOOT & ANKLE, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7447 WEST TALCOTT AVE
SUITE 406
CHICAGO, IL
ZIP 60163
Phone: (224) 227-6973
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PRAIRIE FOOT & ANKLE, P.C. is a foot and ankle surgery podiatrist in Chicago, IL. PRAIRIE FOOT & ANKLE, P.C. NPI is 1346752656. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7447 WEST TALCOTT AVE
SUITE 406
CHICAGO, IL
ZIP 60163-275
Phone: (224) 227-6973
Fax: (224) 238-3296

The provider's authorized official is Denise Mary-danielle Lee .
The authorized official title is Practice Administrator and has the following contact phone number (224) 227-6973.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 10/26/2017.

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	016005367	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	=========	OTHER		TIN

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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