NPI 1689844490 · live from the CMS NPI Registry
Advanced Onsite Wound Care LLC
Podiatrist, Foot & Ankle Surgery in Park Ridge, IL. National Provider Identifier 1689844490, active.
NPI record
| NPI | 1689844490 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1600 W Dempster St, Suite 120, Park Ridge, IL 60068 |
| Practice phone | 847-299-7888 |
| Enumerated | March 7, 2008 |
| Last updated | December 22, 2014 |
| Authorized official | Robert Anglim, Officer |
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.