institution
Libertyville Ankle & Foot Clinic, Inc
Foot & Ankle Surgery Podiatrist in Libertyville, Illinois
NPI 1487630406

Libertyville Ankle & Foot Clinic, Inc is a Foot & Ankle Surgery Podiatrist based in Libertyville, IL and is specialized in Foot & Ankle Surgery. Libertyville Ankle & Foot Clinic, Inc practices in Libertyville, IL. The NPI Number for Libertyville Ankle & Foot Clinic, Inc is 1487630406 and holds a License No. 016-005031 (Illinois).

The current practice location address for Libertyville Ankle & Foot Clinic, Inc is 1017 W Park Ave, Libertyville, IL and can be reached out via phone at 847-362-1320 and via fax at 847-362-1823.

Location: 1017 W Park Ave, Libertyville, IL, 60048-2502
institution
Provider Profile Details
NPI Number
1487630406
Provider Name
Libertyville Ankle & Foot Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1017 W Park Ave, Libertyville, IL, 60048-2502
Phone Number
847-362-1320
Fax Number
847-362-1823
Provider Enumeration Date
12/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005031 05 IL
P00347050 01 IL RAILROAD MEDICARE
04932511 01 IL BLUECROSS
institution
Provider Business Practice Location Address Details
Address
1017 W Park Ave
City
State
Zip
60048-2502
Phone Number
847-362-1320
Fax Number
847-362-1823
person
Provider Business Mailing Address Details
Address
1017 W Park Ave
City
State
Zip
60048-2502
Phone Number
847-362-1320
Fax Number
847-362-1823
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-005031 (Illinois)
Definition
Definition to come...
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