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Contact Information

ADVANCED ANKLE AND FOOT SURGEONS, LLC
4905 STONE FALLS CTR STE B
O'FALLON, IL62269-7802
 Phone: 618-277-0001
 Fax: 618-277-7339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED ANKLE AND FOOT SURGEONS LLC · (Female)

NPI # 1245563501
Status Active
Credentials
Entity Individual
Enumeration date 09/17/2009
Last updated 05/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016.004852
  • IL Other 6242980002 PTAN
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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