NPI 1578688701 · live from the CMS NPI Registry
Active Foot & Ankle Associates PC
Podiatrist, Foot & Ankle Surgery in Chicago, IL. National Provider Identifier 1578688701, active.
NPI record
| NPI | 1578688701 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 3935 W 26th St, Chicago, IL 60623 |
| Practice phone | 773-762-2000 |
| Enumerated | March 20, 2007 |
| Last updated | March 23, 2011 |
| Authorized official | Barry Minerof, Owner |
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.