ILLINOIS FOOT AND ANKLE SPECIALISTS P.C. NPI 1760721963

NPI Information

NPI: 1760721963
Provider Name: ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
5485 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 763-6655
Get Directions

ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C. is a foot and ankle surgery podiatrist in Chicago, IL. ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C. NPI is 1760721963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5485 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60630-249
Phone: (773) 763-6655
Fax: (773) 763-5117

The provider's authorized official is Katarzyna Nietupski .
The authorized official title is Owner and has the following contact phone number (630) 699-5089.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 2/7/2013.

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	016005453	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	520330001	OTHER	ILLINOIS	MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
2	347886727-60630-30	MEDICAID	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

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