Organization · Type 2 NPI

Libertyville Ankle & Foot Clinic, Inc

Foot & Ankle Surgery Podiatrist · Libertyville, IL

NPI number 1487630406 Active

Practice location

1017 W Park Ave, Suite A
Libertyville, IL 60048-2502

Fax (847) 362-1823

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X016-005031 (IL)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1487630406

Libertyville Ankle & Foot Clinic, Inc's National Provider Identifier is 1487630406, issued on Dec 21, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Libertyville, IL. The record was last updated on Jul 25, 2014.