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SUBURBAN FOOT AND ANKLE SPECIALISTS P.C. NPI 1811183502


NPI Information

NPI: 1811183502
Provider Name: SUBURBAN FOOT AND ANKLE SPECIALISTS P.C.
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
475 N FARNSWORTH AVE
AURORA, IL
ZIP 60505
Phone: (630) 898-0022
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SUBURBAN FOOT AND ANKLE SPECIALISTS P.C. is a foot surgery podiatrist in Aurora, IL. SUBURBAN FOOT AND ANKLE SPECIALISTS P.C. NPI is 1811183502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 N FARNSWORTH AVE
AURORA, IL
ZIP 60505-004
Phone: (630) 898-0022

The provider's authorized official is Lewis Wasserman .
The authorized official title is President and has the following contact phone number (847) 219-0539.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 9/17/2007.


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
1213ES0131XPodiatristFoot 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
10004523326OTHERILLINOISBCBS OF ILLINOIS

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: 11/14/2023

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