NPI 1376567958 · live from the CMS NPI Registry
American Surgeons Group INC
Podiatrist, Foot & Ankle Surgery in Homewood, IL. National Provider Identifier 1376567958, active.
NPI record
| NPI | 1376567958 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1757 Ridge Rd, Homewood, IL 60430 |
| Practice phone | 708-799-7500 |
| Enumerated | July 27, 2006 |
| Last updated | June 29, 2015 |
| Authorized official | Julia Shauger, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.