NPI 1073078085 · live from the CMS NPI Registry
Kevin Alexander, DPM
Podiatrist, Foot & Ankle Surgery in Deerfield, IL. National Provider Identifier 1073078085, active.
NPI record
| NPI | 1073078085 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 707 Lake Cook Rd Ste 130, Deerfield, IL 60015 |
| Practice phone | 847-498-4998 |
| Mailing address | 2443 N 73rd Ct, Elmwood Park, IL 60707 |
| Enumerated | February 4, 2019 |
| Last updated | December 4, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | POD001404 (GA) |
| Podiatrist | 213E00000X | 07001343A (IN) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016.005918 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.