Active Foot & Ankle Associates PC
Podiatrist, Foot & Ankle Surgery in Chicago, IL. Organization (NPI-2).
NPI number1578688701
StatusActive
Last updated in NPPESMar 23, 2011
Details
- NPI
- 1578688701
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Foot & Ankle Associates PC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Mar 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
3935 W 26th StChicago, IL 60623-3706
Phone 773-762-2000 · Fax 773-762-3350
Mailing address
3935 W 26th StChicago, IL 60623-3706
Phone 773-762-2000 · Fax 773-762-3350
Authorized official
Barry W Minerof
Owner
7737622000
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