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BLOOMINGDALE FOOT & ANKLE ASSOCIATES INC NPI 1992959571


NPI Information

NPI: 1992959571
Provider Name: BLOOMINGDALE FOOT & ANKLE ASSOCIATES, INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
129 FAIRFIELD WAY STE 110
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 894-3000
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BLOOMINGDALE FOOT & ANKLE ASSOCIATES, INC is a podiatrist in Bloomingdale, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BLOOMINGDALE FOOT & ANKLE ASSOCIATES, INC NPI is 1992959571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 FAIRFIELD WAY STE 110
BLOOMINGDALE, IL
ZIP 60108-557
Phone: (630) 894-3000
Fax: (630) 894-3050

The provider's authorized official is Tina Bombard .
The authorized official title is Billing Manager and has the following contact phone number (630) 897-6851.

The enumeration date for this NPI number is 11/10/2008 and was last updated on 8/10/2010.


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
1213E00000XPodiatrist016003453ILLINOISYes

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
16322970001MEDICARE NSCILLINOIS
2IL1258MEDICARE 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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