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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

NPI Number 1053421180
LBN Legal business name A BRIDGEPORT FOOT AND ANKLE CLINIC, LTD
Authorized official SIDNEY WEISER - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL Medicaid 016004192
IL Other 01635040 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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