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DUPAGE FOOT AND ANKLE LLC NPI 1073902474


NPI Information

NPI: 1073902474
Provider Name: DUPAGE FOOT AND ANKLE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1525 N MAIN ST
WHEATON, IL
ZIP 60187
Phone: (630) 538-3668
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DUPAGE FOOT AND ANKLE LLC is a foot and ankle surgery podiatrist in Wheaton, IL. DUPAGE FOOT AND ANKLE LLC NPI is 1073902474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1525 N MAIN ST
WHEATON, IL
ZIP 60187-583
Phone: (630) 538-3668

The provider's authorized official is Julie Ernst .
The authorized official title is Office Manager and has the following contact phone number (630) 538-3668.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.


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
1F100099707MEDICARE PINILLINOIS

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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