PRIME FOOT AND ANKLE PLLC NPI 1336079052

NPI Information

  • NPI: 1336079052
  • Provider Name: PRIME FOOT AND ANKLE PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 4417 147TH ST
    MIDLOTHIAN, IL
    ZIP 60445
  • Phone: (708) 388-3910

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NPI Details

PRIME FOOT AND ANKLE PLLC is a foot and ankle surgery podiatrist in Midlothian, IL. PRIME FOOT AND ANKLE PLLC NPI is 1336079052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4417 147TH ST
MIDLOTHIAN, IL
ZIP 60445-643
Phone: (708) 388-3910

The provider's authorized official is Neveen Abuali .
The authorized official title is Owner and has the following contact phone number (847) 271-2850.

The enumeration date for this NPI number is 5/22/2026 and was last updated on 5/22/2026.

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
1213ES0131XPodiatristFoot SurgeryNo
2213EP1101XPodiatristPrimary Podiatric MedicineNo
3213E00000XPodiatristNo
4213ER0200XPodiatristRadiologyNo
5213ES0103XPodiatristFoot & 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: 11/21/2025

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