institution
Itasca Foot And Ankle, Ltd.
Foot & Ankle Surgery Podiatrist in Itasca, Illinois
NPI 1912019548

Itasca Foot And Ankle, Ltd. is a Foot & Ankle Surgery Podiatrist based in Itasca, IL and is specialized in Foot & Ankle Surgery. Itasca Foot And Ankle, Ltd. practices in Itasca, IL. The NPI Number for Itasca Foot And Ankle, Ltd. is 1912019548 and holds a License No. 016 004114 (Illinois).

The current practice location address for Itasca Foot And Ankle, Ltd. is 209 N Walnut St, Itasca, IL and can be reached out via phone at 630-773-2478 and via fax at 630-773-3695.

Location: 209 N Walnut St, Itasca, IL, 60143-1730
institution
Provider Profile Details
NPI Number
1912019548
Provider Name
Itasca Foot And Ankle, Ltd.
Credential
Provider Entity Type
Organization
Address
209 N Walnut St, Itasca, IL, 60143-1730
Phone Number
630-773-2478
Fax Number
630-773-3695
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE6095 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
209 N Walnut St
City
State
Zip
60143-1730
Phone Number
630-773-2478
Fax Number
630-773-3695
person
Provider Business Mailing Address Details
Address
209 N Walnut St
City
State
Zip
60143-1730
Phone Number
630-773-2478
Fax Number
630-773-3695
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016 004114 (Illinois)
Definition
Definition to come...
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