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Contact Information

ACTIVE FOOT & ANKLE ASSOCIATES PC
3935 W 26TH ST
CHICAGO, IL60623-3706
 Phone: 773-762-2000
 Fax: 773-762-3350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ACTIVE FOOT ANKLE ASSOCIATES PC · (Female)

NPI # 1578688701
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2007
Last updated 03/23/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL Other 60010797 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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