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NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS LTD NPI 1073083770


NPI Information

NPI: 1073083770
Provider Name: NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
750 E TERRA COTTA AVE STE C
CRYSTAL LAKE, IL
ZIP 60014
Phone: (847) 639-5800
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NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD is a foot and ankle surgery podiatrist in Crystal Lake, IL. NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD NPI is 1073083770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 E TERRA COTTA AVE STE C
CRYSTAL LAKE, IL
ZIP 60014-621
Phone: (847) 639-5800
Fax: (847) 639-2980

The provider's authorized official is Patrick Allen Mceneaney .
The authorized official title is Owner and has the following contact phone number (847) 639-5800.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 12/16/2019.


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

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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