NPI 1417944653 · live from the CMS NPI Registry
Louis Aquino, DPM
Podiatrist, Foot & Ankle Surgery in Maryville, IL. National Provider Identifier 1417944653, active.
NPI record
| NPI | 1417944653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 122 E Zupan St, Maryville, IL 62062 |
| Practice phone | 618-344-4449 |
| Mailing address | Po Box 340, Maryville, IL 62062 |
| Enumerated | October 3, 2005 |
| Last updated | October 5, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016-004166 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.