Foundation Foot And Ankle Center LLC
Podiatrist in Naperville, IL. Organization (NPI-2).
NPI number1962092437
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1962092437
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundation Foot And Ankle Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2021
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1012 95th St Ste 12Naperville, IL 60564-5040
Phone 504-410-4702
Mailing address
1012 95th St Ste 12Naperville, IL 60564-5040
Phone 630-635-5889 · Fax 630-570-2400
Authorized official
Anna Yang
Owner
5044104702
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