SOUTH CHICAGO FOOT & ANKLE CENTER LTD NPI 1962574103

NPI Information

NPI: 1962574103
Provider Name: SOUTH CHICAGO FOOT & ANKLE CENTER, LTD
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1706 E 87TH ST
CHICAGO, IL
ZIP 60617
Phone: (773) 374-5300
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SOUTH CHICAGO FOOT & ANKLE CENTER, LTD is a podiatric clinic center in Chicago, IL. SOUTH CHICAGO FOOT & ANKLE CENTER, LTD NPI is 1962574103. The provider is registered as an organization entity type.

The provider's business location address is:

1706 E 87TH ST
CHICAGO, IL
ZIP 60617-740
Phone: (773) 374-5300
Fax: (773) 374-5860

The provider's authorized official is Jondelle Jenkins .
The authorized official title is President and has the following contact phone number (773) 374-5300.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 9/25/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric			Yes

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

NPI Synchronization or Removal

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