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MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC NPI 1154930485


NPI Information

NPI: 1154930485
Provider Name: MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2003 MONTGOMERY RD STE 108-109
AURORA, IL
ZIP 60504
Phone: (630) 401-8286
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MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC is a foot and ankle surgery podiatrist in Aurora, IL. MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC NPI is 1154930485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2003 MONTGOMERY RD STE 108-109
AURORA, IL
ZIP 60504-078
Phone: (630) 401-8286
Fax: (630) 401-8648

The provider's authorized official is Shayan Alamgir .
The authorized official title is Physician and has the following contact phone number (630) 401-8286.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 3/31/2021.


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: 11/14/2023

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