NPI 1386030625 · live from the CMS NPI Registry
Andersonmont
Podiatrist in Waukegan, IL. National Provider Identifier 1386030625, active.
NPI record
| NPI | 1386030625 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1200 N Green Bay Rd, Waukegan, IL 60085 |
| Practice phone | 847-249-3338 |
| Mailing address | 501 N Hicks Rd, Palatine, IL 60067 |
| Enumerated | April 14, 2015 |
| Last updated | July 28, 2015 |
| Authorized official | Joel Anderson, President |
| Other names | Lake County Foot & Ankle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 016004882 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.