institution
Ridgeland Foot And Ankle Center Ltd
Foot & Ankle Surgery Podiatrist in Berwyn, Illinois
NPI 1225248396

Ridgeland Foot And Ankle Center Ltd is a Foot & Ankle Surgery Podiatrist based in Berwyn, IL and is specialized in Foot & Ankle Surgery. Ridgeland Foot And Ankle Center Ltd practices in Berwyn, IL. The NPI Number for Ridgeland Foot And Ankle Center Ltd is 1225248396 and holds a License No. 016004695 (Illinois).

The current practice location address for Ridgeland Foot And Ankle Center Ltd is 6845 Stanley Ave, Berwyn, IL and can be reached out via phone at 708-788-5239 and via fax at 708-788-3618.

Location: 6845 Stanley Ave, Berwyn, IL, 60402-3041
institution
Provider Profile Details
NPI Number
1225248396
Provider Name
Ridgeland Foot And Ankle Center Ltd
Credential
Provider Entity Type
Organization
Address
6845 Stanley Ave, Berwyn, IL, 60402-3041
Phone Number
708-788-5239
Fax Number
708-788-3618
Provider Enumeration Date
05/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60001136 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6845 Stanley Ave
City
State
Zip
60402-3041
Phone Number
708-788-5239
Fax Number
708-788-3618
person
Provider Business Mailing Address Details
Address
6845 Stanley Ave
City
State
Zip
60402-3041
Phone Number
708-788-5239
Fax Number
708-788-3618
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004695 (Illinois)
Definition
Definition to come...
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