Itasca Foot And Ankle, Ltd. in Itasca - Foot & Ankle Surgery

Itasca Foot And Ankle, Ltd. - NPI 1912019548

Itasca Foot And Ankle, Ltd. is a Foot & Ankle Surgery in Itasca, Illinois. Itasca Foot And Ankle, Ltd. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Itasca Foot And Ankle, Ltd. is 1912019548. The last update date is 2008-10-17.

Itasca Foot And Ankle, Ltd.'s current location address is 209 N Walnut St, Itasca, Illinois. You can contact this provider via phone number 6307732478 and fax number 6307733695. The mailing address for Itasca Foot And Ankle, Ltd. is 209 N Walnut St, Itasca, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Itasca Foot And Ankle, Ltd.
Address 209 N Walnut St, Itasca, Illinois
Phone Number 6307732478
Fax Number 6307733695
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Schlund Catherine Marie
Credentials D.P.M.
Telephone Number 6307732478

NPI Number Detail

NPI Number 1912019548
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-10-17

Provider Mailing Address Detail

Address 209 N Walnut St
City Itasca
State Illinois (IL)
Post Code 601431730
Phone Number 6307732478
Fax Number 6307733695

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 016 004114
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
DE6095 IL RAILROAD MEDICARE

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FAQs about Itasca Foot And Ankle, Ltd.

What is the Itasca Foot And Ankle, Ltd.'s unique identification number?

The Itasca Foot And Ankle, Ltd. has been assigned the NPI (National Provider Identifier) Number 1912019548 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Itasca Foot And Ankle, Ltd.'s facilities are situated?

The facilities of Itasca Foot And Ankle, Ltd. are physically located at the following address: 209 N Walnut St, Itasca, IL, 601431730.

What is the Itasca Foot And Ankle, Ltd.'s specialty and taxonomy code?

The Itasca Foot And Ankle, Ltd.'s specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.

On what date did the Itasca Foot And Ankle, Ltd. receive the assignment of its 1912019548 from the Centers for Medicare & Medicaid Services?

The Itasca Foot And Ankle, Ltd. was issued its 1912019548 by the Centers for Medicare & Medicaid Services on 2006-08-31.

When was the information regarding Itasca Foot And Ankle, Ltd. most recently updated?

The details pertaining to the Itasca Foot And Ankle, Ltd., including its address, specialty, and other relevant information, were last refreshed on 2008-10-17.

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