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FOX VALLEY FOOT AND ANKLE SPECIALIST LTD NPI 1285817536


NPI Information

NPI: 1285817536
Provider Name: FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2401 KANEVILLE RD STE 6
GENEVA, IL
ZIP 60134
Phone: (630) 232-1013
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FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD is a foot and ankle surgery podiatrist in Geneva, IL. FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD NPI is 1285817536. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2401 KANEVILLE RD STE 6
GENEVA, IL
ZIP 60134-577
Phone: (630) 232-1013
Fax: (630) 232-1014

The provider's authorized official is Mark Mondul .
The authorized official title is Owner and has the following contact phone number (630) 232-1013.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 7/8/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery016003529ILLINOISYes

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
10335480001MEDICARE NSCILLINOIS
260001518OTHERILLINOISBCBS
3T38290MEDICARE UPINILLINOIS
4731300MEDICARE 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: 5/5/2024
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