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FOOT & ANKLE CENTER LLC NPI 1790795904


NPI Information

NPI: 1790795904
Provider Name: FOOT & ANKLE CENTER, LLC

Other Name: FOOT & ANKLE CENTER-FAIRVIEW HEIGHTS

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
957 LINCOLN HWY
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (618) 632-4885
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FOOT & ANKLE CENTER, LLC is a foot and ankle surgery podiatrist in Fairview Heights, IL. FOOT & ANKLE CENTER, LLC NPI is 1790795904. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Foot & Ankle Center-fairview Heights.

The provider's business location address is:

957 LINCOLN HWY
FAIRVIEW HEIGHTS, IL
ZIP 62208-234
Phone: (618) 632-4885
Fax: (618) 632-0350

The provider's authorized official is Louis Aquino .
The authorized official title is President and has the following contact phone number (314) 487-9300.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 12/9/2008.


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 Surgery016005263ILLINOISYes

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
1213138MEDICARE 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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