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KV FOOT AND ANKLE PC NPI 1609316686


NPI Information

NPI: 1609316686
Provider Name: KV FOOT AND ANKLE PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
629 COLUMBINE AVE
LISLE, IL
ZIP 60532
Phone: (708) 341-6428
Get Directions

KV FOOT AND ANKLE PC is a podiatrist in Lisle, 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. KV FOOT AND ANKLE PC NPI is 1609316686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

629 COLUMBINE AVE
LISLE, IL
ZIP 60532-711
Phone: (708) 341-6428

The provider's authorized official is Sarah Ann Summer Matouk .
The authorized official title is President and has the following contact phone number (708) 341-6428.

The enumeration date for this NPI number is 2/24/2017 and was last updated on 10/6/2017.


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 Surgery016005612ILLINOISNo
2213E00000XPodiatrist016005612ILLINOISYes

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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