ADVANCED FOOT AND ANKLE SURGEONS INC. NPI 1528394343

NPI Information

NPI: 1528394343
Provider Name: ADVANCED FOOT AND ANKLE SURGEONS, INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 14D1083146

Address:
215 HILLCREST AVE
SUITE B
YORKVILLE, IL
ZIP 60560
Phone: (630) 352-3700
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ADVANCED FOOT AND ANKLE SURGEONS, INC. is a foot and ankle surgery podiatrist in Yorkville, IL. ADVANCED FOOT AND ANKLE SURGEONS, INC. NPI is 1528394343. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

215 HILLCREST AVE
SUITE B
YORKVILLE, IL
ZIP 60560-366
Phone: (630) 352-3700
Fax: (815) 986-6062

The provider's authorized official is Douglas J Pacaccio .
The authorized official title is President and has the following contact phone number (630) 352-3700.

The CLIA number assigned to this NPI record is 14D1083146 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 5/8/2015.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005351	ILLINOIS	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	016005351	MEDICAID	ILLINOIS
2	1013005867	OTHER	ILLINOIS	INDIVIDUAL NPI
3	6306010002	MEDICARE NSC	ILLINOIS

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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