Organization · NPI-2

1foot 2foot Centre For Foot And Ankle Care, PC

Podiatrist, Foot & Ankle Surgery · Chesapeake, VA

NPI number1346057841
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1346057841
Entity type
Organization (NPI-2)
Legal business name
1foot 2foot Centre For Foot And Ankle Care, PC
Organization subpart
Yes
Enumeration date
Dec 17, 2024
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Practice location

109 Wimbledon Sq Ste F
Chesapeake, VA 23320-4945

Phone 757-698-4177 · Fax 757-698-4176

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023

Phone 847-390-7666 · Fax 224-220-9345

Authorized official

Devin Christopher Carroll
Cmo
7579866755

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