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MERCADO FOOT AND ANKLE CLINICS NPI 1265430730


NPI Information

NPI: 1265430730
Provider Name: MERCADO FOOT AND ANKLE CLINICS
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4143 SAUK TRL
RICHTON PARK, IL
ZIP 60471
Phone: (708) 748-3337
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MERCADO FOOT AND ANKLE CLINICS is a podiatrist in Richton Park, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MERCADO FOOT AND ANKLE CLINICS NPI is 1265430730. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4143 SAUK TRL
RICHTON PARK, IL
ZIP 60471-253
Phone: (708) 748-3337
Fax: (708) 747-3338

The provider's authorized official is Michael James Smith .
The authorized official title is Podiatrist/owner/partner and has the following contact phone number (708) 748-3337.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 4/10/2008.


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
1213E00000XPodiatristILLINOISYes

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
1208981MEDICARE ID-TYPE UNSPECIFIED
25181390001MEDICARE NSCILLINOIS
31634248OTHERBCBS
4P00145458OTHERGBA RAILROAD
5705352LOTHERAETNA
692433MEDICARE UPIN

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: 5/5/2024

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