Organization · Type 2 NPI
Northern Illinois Foot & Ankle Specialists, Ltd
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1104558311
Active
Practice location
5600 W Addison St # Ll
Chicago, IL 60634-4401
Mailing address
750 E Terra Cotta Ave Ste A
Crystal Lake, IL 60014-3621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Podiatric Clinic/Center | 261QP1100X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104558311
Northern Illinois Foot & Ankle Specialists, Ltd's National Provider Identifier is 1104558311, issued on Jun 27, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Apr 28, 2025.