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Contact Information

A BRIDGEPORT FOOT AND ANKLE CLINIC, LTD
9933 LAWLER AVE
SUITE 225
SKOKIE, IL60077-3703
 Phone: 312-225-2444
 Fax: 847-674-2113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for A BRIDGEPORT FOOT AND ANKLE CLINIC LTD · (Female)

NPI Number 1053421180
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Medicaid 016004192
  • IL Other 01635040 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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