Ridgeland Foot And Ankle Center Ltd in Berwyn - Foot & Ankle Surgery

Ridgeland Foot And Ankle Center Ltd - NPI 1225248396

Ridgeland Foot And Ankle Center Ltd is a Foot & Ankle Surgery in Berwyn, Illinois. Ridgeland Foot And Ankle Center Ltd practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Ridgeland Foot And Ankle Center Ltd is 1225248396. The last update date is 2023-04-10.

Ridgeland Foot And Ankle Center Ltd's current location address is 6845 Stanley Ave, Berwyn, Illinois. You can contact this provider via phone number 7087885239 and fax number 7087883618. The mailing address for Ridgeland Foot And Ankle Center Ltd is 6845 Stanley Ave, Berwyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ridgeland Foot And Ankle Center Ltd
Address 6845 Stanley Ave, Berwyn, Illinois
Phone Number 7087885239
Fax Number 7087883618
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/CEO
Authorized Official Name Camilleri Mark
Credentials DPM
Telephone Number 7087885239

NPI Number Detail

NPI Number 1225248396
Provider Enumeration Date 2007-05-23
Last Updated Date 2023-04-10

Provider Mailing Address Detail

Address 6845 Stanley Ave
City Berwyn
State Illinois (IL)
Post Code 604023041
Phone Number 7087885239
Fax Number 7087883618

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 16004695
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60001136 IL BLUE CROSS BLUE SHIELD

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FAQs about Ridgeland Foot And Ankle Center Ltd

What is the unique 10-digit identifier code issued to Ridgeland Foot And Ankle Center Ltd by the Centers for Medicare & Medicaid Services?

The Ridgeland Foot And Ankle Center Ltd has been assigned the NPI (National Provider Identifier) 1225248396 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Ridgeland Foot And Ankle Center Ltd's physical address?

The Ridgeland Foot And Ankle Center Ltd is physically located at 6845 Stanley Ave, in the city of Berwyn, IL, with the postal code 604023041.

What is Ridgeland Foot And Ankle Center Ltd's area of expertise and its corresponding taxonomy classification?

The Ridgeland Foot And Ankle Center Ltd's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.

On what date did the Ridgeland Foot And Ankle Center Ltd receive its 1225248396 assignment from the Centers for Medicare & Medicaid Services?

The Ridgeland Foot And Ankle Center Ltd was assigned its 1225248396 by the Centers for Medicare & Medicaid Services on 2007-05-23.

As of what date were the details related to Ridgeland Foot And Ankle Center Ltd most recently updated or revised?

The information pertaining to Ridgeland Foot And Ankle Center Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-10.

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