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Contact Information

AFFILIATED PODIATRISTS OF ILLINOIS LTD.
350 OAK KNOLL TER
NORTHBROOK, IL60062-1048
 Phone: 847-562-9864
 Fax: 847-562-9865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AFFILIATED PODIATRISTS OF ILLINOIS LTD.

NPI Number 1104981422
LBN Legal business name AFFILIATED PODIATRISTS OF ILLINOIS LTD.
Authorized official JACOB GREENSPAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 11/25/2009 - About 17 years ago
Identifiers
IL License # 016-003364
IL Medicaid 016003364
IL Other 0002215448 BLUE SHIELD
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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