NPI 1902194673 · live from the CMS NPI Registry
Ambulatory Medical Ltd
Clinic/Center, Podiatric in Plainfield, IL. National Provider Identifier 1902194673, active.
NPI record
| NPI | 1902194673 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Podiatric 261QP1100X |
| Practice location | 24103 W Lockport St Ste 103, Suite 103, Plainfield, IL 60544 |
| Practice phone | 773-326-5504 |
| Enumerated | July 15, 2011 |
| Last updated | December 3, 2025 |
| Authorized official | Luan Seiko, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Clinic/Center, Podiatric primary | 261QP1100X | 060010605 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.