Advanced Foot & Ankle Care, Ltd in Springfield - Podiatric
Advanced Foot & Ankle Care, Ltd - NPI 1104899871
Advanced Foot & Ankle Care, Ltd is a Podiatric in Springfield, Illinois. Advanced Foot & Ankle Care, Ltd practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Advanced Foot & Ankle Care, Ltd is 1104899871. The last update date is 2011-03-25.
Advanced Foot & Ankle Care, Ltd's current location address is 1522 S 5th St, Springfield, Illinois. You can contact this provider via phone number 2175223622 and fax number 2175223046. The mailing address for Advanced Foot & Ankle Care, Ltd is 1522 S 5th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Advanced Foot & Ankle Care, Ltd |
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Address | 1522 S 5th St, Springfield, Illinois |
Phone Number | 2175223622 |
Fax Number | 2175223046 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Wilson Kay Marla |
Credentials | DPM |
Telephone Number | 2175223622 |
NPI Number Detail
NPI Number | 1104899871 |
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Provider Enumeration Date | 2006-02-10 |
Last Updated Date | 2011-03-25 |
Provider Mailing Address Detail
Address | 1522 S 5th St |
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City | Springfield |
State | Illinois (IL) |
Post Code | 627032549 |
Phone Number | 2175223622 |
Fax Number | 2175223046 |
Provider's Primary Taxonomy Detail
Speciality | Podiatric |
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Taxonomy | 261Qp1100X |
Licence No | 016-004880 |
Definition: Provides conservative and surgical foot and ankle care. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4482080001 | IL | DMEPOS |
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What is the unique 10-digit identifier code issued to Advanced Foot & Ankle Care, Ltd by the Centers for Medicare & Medicaid Services?
The Advanced Foot & Ankle Care, Ltd has been assigned the NPI (National Provider Identifier) 1104899871 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Advanced Foot & Ankle Care, Ltd's facilities are geographically located?
The facilities of Advanced Foot & Ankle Care, Ltd are physically situated at the following location: 1522 S 5Th St, Springfield, IL, 627032549.
What is the area of specialization for Advanced Foot & Ankle Care, Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Advanced Foot & Ankle Care, Ltd is Podiatric, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104899871 to Advanced Foot & Ankle Care, Ltd?
The Centers for Medicare & Medicaid Services assigned the 1104899871 to Advanced Foot & Ankle Care, Ltd on 2006-02-10.
When was the information regarding Advanced Foot & Ankle Care, Ltd most recently updated?
The details pertaining to the Advanced Foot & Ankle Care, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2011-03-25.
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