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MONTROSE FOOT AND ANKLE LLC NPI 1609017508


NPI Information

NPI: 1609017508
Provider Name: MONTROSE FOOT AND ANKLE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1929 W MONTROSE AVE
CHICAGO, IL
ZIP 60613
Phone: (773) 528-4700
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MONTROSE FOOT AND ANKLE LLC is a foot and ankle surgery podiatrist in Chicago, IL. MONTROSE FOOT AND ANKLE LLC NPI is 1609017508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1929 W MONTROSE AVE
CHICAGO, IL
ZIP 60613-011
Phone: (773) 528-4700
Fax: (773) 529-5392

The provider's authorized official is Wika K Gomez .
The authorized official title is Owner and has the following contact phone number (773) 528-4700.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 2/12/2010.


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 SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V10719MEDICARE UPINILLINOIS
2016005228MEDICAIDILLINOIS
3IL1690MEDICARE PINILLINOIS
46267720001MEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.