NPI 1851142483 · live from the CMS NPI Registry
Aaron Robert Balduff
Podiatrist, Foot & Ankle Surgery in Maywood, IL. National Provider Identifier 1851142483, active.
NPI record
| NPI | 1851142483 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 2160 S 1st Ave, Maywood, IL 60153 |
| Practice phone | 331-425-9395 |
| Enumerated | April 1, 2024 |
| Last updated | June 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 135.001230 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.