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
Address 1522 S 5th St, Springfield, Illinois
Phone Number 2175223622
Fax Number 2175223046
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wilson Kay Marla
Credentials DPM
Telephone Number 2175223622

NPI Number Detail

NPI Number 1104899871
Provider Enumeration Date 2006-02-10
Last Updated Date 2011-03-25

Provider Mailing Address Detail

Address 1522 S 5th St
City Springfield
State Illinois (IL)
Post Code 627032549
Phone Number 2175223622
Fax Number 2175223046

Provider's Primary Taxonomy Detail

Speciality Podiatric
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
4482080001 IL DMEPOS

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FAQs about Advanced Foot & Ankle Care, Ltd

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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