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MIDWEST FOOT AND ANKLE CENTER PC NPI 1649322207


NPI Information

NPI: 1649322207
Provider Name: MIDWEST FOOT AND ANKLE CENTER, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1450 PLAINFIELD RD
SUITE 6
DARIEN, IL
ZIP 60561
Phone: (630) 218-0014
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MIDWEST FOOT AND ANKLE CENTER, PC is a foot and ankle surgery podiatrist in Darien, IL. MIDWEST FOOT AND ANKLE CENTER, PC NPI is 1649322207. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1450 PLAINFIELD RD
SUITE 6
DARIEN, IL
ZIP 60561-944
Phone: (630) 218-0014
Fax: (630) 218-0017

The provider's authorized official is Ruth Songco-chi .
The authorized official title is President and has the following contact phone number (630) 218-0014.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 1/27/2015.


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
1213ES0103XPodiatristFoot & Ankle Surgery016-005222ILLINOISNo
2213ES0103XPodiatristFoot & Ankle Surgery016-005030ILLINOISYes

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
11699744060OTHERNPI
2U85813MEDICARE UPINILLINOIS
3016-005030MEDICAIDILLINOIS
4K36066MEDICARE PINILLINOIS
5016005030MEDICAIDILLINOIS
6016005222MEDICAIDILLINOIS
7K36065MEDICARE PINILLINOIS
8016-005222MEDICAIDILLINOIS
91558337303OTHERNPI
10V05224MEDICARE UPINILLINOIS
116212650002MEDICARE NSCILLINOIS
12211783MEDICARE PINILLINOIS
13211784MEDICARE 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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