NPI 1053421180 · live from the CMS NPI Registry
A Bridgeport Foot And Ankle Clinic, Ltd
Podiatrist in Skokie, IL. National Provider Identifier 1053421180, active.
NPI record
| NPI | 1053421180 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 9933 Lawler Ave, Suite 225, Skokie, IL 60077 |
| Practice phone | 312-225-2444 |
| Mailing address | 3058 W Peterson, Chicago, IL 60659 |
| Enumerated | August 30, 2006 |
| Last updated | July 21, 2022 |
| Authorized official | Sidney Weiser, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.