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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

NPI # 1184339376
LBN Legal business name FOOTSTEPS OF ILLINOIS, PLLC
Authorized official ZUBAIR KHAN - (OWNER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2023
Last updated 02/12/2024 - About 2 years ago
Identifiers n/a
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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