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FOOT FIRST PODIATRY CENTERS V.P.C. NPI 1417133737


NPI Information

NPI: 1417133737
Provider Name: FOOT FIRST PODIATRY CENTERS, V.P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4777 E STATE ST
ROCKFORD, IL
ZIP 61108
Phone: (815) 229-0388
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FOOT FIRST PODIATRY CENTERS, V.P.C. is a foot and ankle surgery podiatrist in Rockford, IL. FOOT FIRST PODIATRY CENTERS, V.P.C. NPI is 1417133737. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4777 E STATE ST
ROCKFORD, IL
ZIP 61108-273
Phone: (815) 229-0388

The provider's authorized official is Keith Sklar .
The authorized official title is Owner and has the following contact phone number (847) 352-9221.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryILLINOISYes

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
1U92592MEDICARE UPIN
2T38226MEDICARE UPIN
3728402MEDICARE PINILLINOIS
4U98112MEDICARE UPIN
5208454MEDICARE 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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