University Foot & Ankle Specialists

NPI 1578788550 - Podiatrist - 213E00000X

NPI Details
NPI 1578788550
Enumeration Date 04/16/2007
Last Updated 08/04/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH H KENNETH
Position PRESIDENT
Phone (630) 241-1700
Fax (630) 241-1713
Practice Location
3825 HIGHLAND AVE
SUITE 205
DOWNERS GROVE IL, 60515-1552, US
Phone (630) 241-1700
Fax (630) 241-1713
Business Location
3825 HIGHLAND AVE
SUITE 205
DOWNERS GROVE IL, 60515-1552, US
Phone (630) 241-1700
Fax (630) 241-1713
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016003250
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According to our database, University Foot & Ankle Specialists NPI is 1578788550, taxonomy code is 213E00000X and license number is 016003250, license state is located at Illinois. University Foot & Ankle Specialists physically located at 3825 Highland Ave, Downers Grove IL, 60515-1552. NPI Number 1033115704 has the healthcare provider type.

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1578788550 NPI number is provided on an as is basis without warranty of any kind. 1578788550 is maintained by the National Plan & Provider Enumeration System. The contents of University Foot & Ankle Specialists are for informational purposes only.