Suburban Foot & Ankle Associates, INC
Non-Pharmacy Dispensing Site in Plainfield, IL. Organization (NPI-2).
NPI number1487905089
StatusActive
Last updated in NPPESSep 24, 2012
Details
- NPI
- 1487905089
- Entity type
- Organization (NPI-2)
- Legal business name
- Suburban Foot & Ankle Associates, INC
- Organization subpart
- Yes
- Enumeration date
- Sep 24, 2012
- Last updated
- Sep 24, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
15724 S Route 59Suite 100
Plainfield, IL 60544-2795
Phone 815-439-1188
Mailing address
2980 N Beverly Glen CirSuite 301
Los Angeles, CA 90077-1726
Phone 310-474-9809
Authorized official
Paul T. Basile
Preseident
8154391188
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