ABSOLUTE FOOT AND ANKLE SURGERY LLC NPI 1134802739

NPI Information

NPI: 1134802739
Provider Name: ABSOLUTE FOOT AND ANKLE SURGERY LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
8208 CRESTVIEW DR
WILLOW SPRINGS, IL
ZIP 60480
Phone: (708) 630-2017
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ABSOLUTE FOOT AND ANKLE SURGERY LLC is a foot and ankle surgery podiatrist in Willow Springs, IL. ABSOLUTE FOOT AND ANKLE SURGERY LLC NPI is 1134802739. The provider is registered as an organization entity type.

The provider's business location address is:

8208 CRESTVIEW DR
WILLOW SPRINGS, IL
ZIP 60480-010
Phone: (708) 630-2017
Fax: (708) 398-9777

The provider's authorized official is Christopher Cklamovski .
The authorized official title is Sole Mbr Physician and has the following contact phone number (312) 925-8207.

The enumeration date for this NPI number is 8/9/2023 and was last updated on 8/19/2023.

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	261Q00000X	Clinic/Center				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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
1	1528563483	OTHER		INDIVIDUAL NPI

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

NPI Synchronization or Removal

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