NPI 1104981422 · live from the CMS NPI Registry
Affiliated Podiatrists Of Illinois Ltd.
Podiatrist in Northbrook, IL. National Provider Identifier 1104981422, active.
NPI record
| NPI | 1104981422 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 350 Oak Knoll Ter, Northbrook, IL 60062 |
| Practice phone | 847-562-9864 |
| Mailing address | Po Box 220, Matteson, IL 60443 |
| Enumerated | December 27, 2006 |
| Last updated | November 25, 2009 |
| Authorized official | Jacob Greenspan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016-003364 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.