ARCHER FOOT CLINIC NPI 1700292711

NPI Information

NPI: 1700292711
Provider Name: ARCHER FOOT CLINIC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3113 S ARCHER AVE
CHICAGO, IL
ZIP 60608
Phone: (773) 284-9660
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ARCHER FOOT CLINIC is a foot and ankle surgery podiatrist in Chicago, IL. ARCHER FOOT CLINIC NPI is 1700292711. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3113 S ARCHER AVE
CHICAGO, IL
ZIP 60608-223
Phone: (773) 284-9660
Fax: (773) 284-9676

The provider's authorized official is Amin Mashouf .
The authorized official title is Admin and has the following contact phone number (773) 284-9660.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/10/2014.

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	016005501	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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