Performance Foot And Ankle Center Llc in South Holland - Podiatrist
Performance Foot And Ankle Center Llc - NPI 1750397428
Performance Foot And Ankle Center Llc is a Podiatrist in South Holland, Illinois. Performance Foot And Ankle Center Llc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Performance Foot And Ankle Center Llc is 1750397428. The last update date is 2022-07-21.
Performance Foot And Ankle Center Llc's current location address is 401 E 162nd St, South Holland, Illinois. You can contact this provider via phone number 7085963757 and fax number 7085963779. The mailing address for Performance Foot And Ankle Center Llc is 401 E 162nd St, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Performance Foot And Ankle Center Llc |
|---|---|
| Address | 401 E 162nd St, South Holland, Illinois |
| Phone Number | 7085963757 |
| Fax Number | 7085963779 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Brink Steven Dale |
| Credentials | DPM, FACFA |
| Telephone Number | 7085963757 |
NPI Number Detail
| NPI Number | 1750397428 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 401 E 162nd St |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604732236 |
| Phone Number | 7085963757 |
| Fax Number | 7085963779 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code assigned to Performance Foot And Ankle Center Llc by the Centers for Medicare & Medicaid Services?
The Performance Foot And Ankle Center Llc has been issued the NPI (National Provider Identifier) 1750397428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Performance Foot And Ankle Center Llc located?
The Performance Foot And Ankle Center Llc is located at 401 E 162Nd St, South Holland, IL 604732236.
What is Performance Foot And Ankle Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Performance Foot And Ankle Center Llc's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750397428 to Performance Foot And Ankle Center Llc?
The Centers for Medicare & Medicaid Services assigned the 1750397428 to Performance Foot And Ankle Center Llc on 2006-08-01.
When was the information regarding Performance Foot And Ankle Center Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Performance Foot And Ankle Center Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.