NPI 1023334935 · live from the CMS NPI Registry
Advanced Foot & Ankle Specialists Sc
Podiatrist, Foot & Ankle Surgery in Elgin, IL. National Provider Identifier 1023334935, active.
NPI record
| NPI | 1023334935 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1750 N Randall Rd, Suite 160, Elgin, IL 60123 |
| Practice phone | 630-698-3637 |
| Enumerated | April 16, 2010 |
| Last updated | December 7, 2021 |
| Authorized official | Gary Ochwat, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 016005296 (IL) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 01600357 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.