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Contact Information

FOOTSTEPS OF ILLINOIS, PLLC
6999 REDANSA DR STE 5A
ROCKFORD, IL61108-1201
 Phone: 815-229-1008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOTSTEPS OF ILLINOIS PLLC · (Female)

NPI # 1184339376
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2023
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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