BOLINGBROOK FOOT SPECIALISTS LTD NPI 1396811824

NPI Information

  • NPI: 1396811824
  • Provider Name: BOLINGBROOK FOOT SPECIALISTS LTD
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Former Legal Business Name: JEFFREY M MACKLER DPM
  • Address: 454 W BOUGHTON ROAD
    BOLINGBROOK, IL
    ZIP 60440
  • Phone: (630) 759-4411

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NPI Details

BOLINGBROOK FOOT SPECIALISTS LTD is a foot and ankle surgery podiatrist in Bolingbrook, IL. BOLINGBROOK FOOT SPECIALISTS LTD NPI is 1396811824. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jeffrey M Mackler Dpm.

The provider's business location address is:

454 W BOUGHTON ROAD
BOLINGBROOK, IL
ZIP 60440-378
Phone: (630) 759-4411
Fax: (630) 759-6063

The provider's authorized official is Jeffrey M Mackler .
The authorized official title is Owner and has the following contact phone number (630) 759-4411.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 9/30/2014.

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
1213ES0103XPodiatristFoot & Ankle Surgery016002706ILLINOISYes

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
15304960001MEDICARE NSCILLINOIS
2210569MEDICARE PINILLINOIS
3T36171MEDICARE 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: 11/21/2025

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