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ADVANCED FOOT CARE OF PALATINE P.C. NPI 1316143530


NPI Information

NPI: 1316143530
Provider Name: ADVANCED FOOT CARE OF PALATINE, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
711 W DUNDEE RD
PALATINE, IL
ZIP 60074
Phone: (847) 358-7005
Get Directions

ADVANCED FOOT CARE OF PALATINE, P.C. is a podiatrist in Palatine, 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. ADVANCED FOOT CARE OF PALATINE, P.C. NPI is 1316143530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

711 W DUNDEE RD
PALATINE, IL
ZIP 60074-715
Phone: (847) 358-7005
Fax: (847) 358-7065

The provider's authorized official is Mark David Suran .
The authorized official title is President and has the following contact phone number (847) 358-7005.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 10/26/2007.


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
1213E00000XPodiatristILLINOISYes

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
10854660001MEDICARE NSCILLINOIS
2765650MEDICARE PINILLINOIS
360001608OTHERILLINOISBLUE CROSS BLUE SHIELD IL
4T38517MEDICARE UPINILLINOIS

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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