NPI 1295723435 · live from the CMS NPI Registry
Associated Foot And Ankle Clinics, PC
Podiatrist in Bourbonnais, IL. National Provider Identifier 1295723435, active.
NPI record
| NPI | 1295723435 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 11 Briarcliff Prof Ctr, Bourbonnais, IL 60914 |
| Practice phone | 815-933-7077 |
| Mailing address | 301 E Hickory St, Suite 2, Streator, IL 61364 |
| Enumerated | October 12, 2005 |
| Last updated | October 26, 2009 |
| Authorized official | Daniel Benoit, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 060007405 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.