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Fox Valley Foot And Ankle Specialist, Ltd

Podiatrist, Foot & Ankle Surgery in Geneva, IL. Organization (NPI-2).

NPI number1285817536
StatusActive
Last updated in NPPESJul 8, 2008

Details

NPI
1285817536
Entity type
Organization (NPI-2)
Legal business name
Fox Valley Foot And Ankle Specialist, Ltd
Organization subpart
No
Enumeration date
Dec 10, 2007
Last updated
Jul 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery016003529ILYes

Practice location

2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577

Phone 630-232-1013 · Fax 630-232-1014

Mailing address

Po Box 762
Geneva, IL 60134-0762

Phone 630-232-1013 · Fax 630-232-1014

Authorized official

Mark Mondul
Owner
6302321013

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