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ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC NPI 1508845884


NPI Information

NPI: 1508845884
Provider Name: ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
4650 SOUTHWEST HWY
OAK LAWN, IL
ZIP 60453
Phone: (708) 424-6353
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ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC is a podiatric clinic center in Oak Lawn, IL. ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC NPI is 1508845884. The provider is registered as an organization entity type.

The provider's business location address is:

4650 SOUTHWEST HWY
OAK LAWN, IL
ZIP 60453-836
Phone: (708) 424-6353
Fax: (708) 424-7095

The provider's authorized official is John F Grady .
The authorized official title is Owner and has the following contact phone number (708) 424-3201.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 4/16/2008.


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
1261QP1100XClinic/CenterPodiatricYes

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
1206947MEDICARE ID-TYPE UNSPECIFIED

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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