Organization · Type 2 NPI

Foot & Ankle Center, LLC

Foot & Ankle Surgery Podiatrist · Fairview Heights, IL

NPI number 1790795904 Active

Practice location

957 Lincoln Hwy
Fairview Heights, IL 62208-2234

Call (618) 632-4885 Map

Fax (618) 632-0350

Mailing address

1299 Reavis Barracks Rd
St. Louis, MO 63125-3260

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	016005263 (IL)

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

Other foot & ankle surgery podiatrist providers in Fairview Heights

Foot & Ankle Center, LLCFoot & Ankle Surgery Podiatrist Fairview Heights, IL NPI 1942427026

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NPI record

NPI: 1790795904
Entity type: Organization (Type 2)
Issued: Aug 9, 2006
Last updated: Dec 9, 2008
Status: Active
Subpart: Yes of Foot & Ankle Center, LLC

Other names

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Foot & Ankle Center-Fairview Heights · other name

Authorized official

Louis Aquino, DPM, FACFAS
President
(314) 487-9300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790795904

Foot & Ankle Center, LLC's National Provider Identifier is 1790795904, issued on Aug 9, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fairview Heights, IL. The record was last updated on Dec 9, 2008.