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FAMILY FOOT AND ANKLE CARE P.C. NPI 1104941574


NPI Information

NPI: 1104941574
Provider Name: FAMILY FOOT AND ANKLE CARE, P.C.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
550 E BOUGHTON RD STE 195
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 739-6610
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FAMILY FOOT AND ANKLE CARE, P.C. is a durable medical equipment medical supplies in Bolingbrook, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FAMILY FOOT AND ANKLE CARE, P.C. NPI is 1104941574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

550 E BOUGHTON RD STE 195
BOLINGBROOK, IL
ZIP 60440-194
Phone: (630) 739-6610
Fax: (630) 410-2482

The provider's authorized official is Mary E. Doran .
The authorized official title is President and has the following contact phone number (630) 739-6610.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/5/2013.


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
1213ES0131XPodiatristFoot SurgeryNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15899020001MEDICARE NSCILLINOIS

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: 5/5/2024

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