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Contact Information

PRIME FOOT AND ANKLE PLLC
4417 147TH ST
MIDLOTHIAN, IL60445-2643
 Phone: 708-388-3910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PRIME FOOT AND ANKLE PLLC

NPI # 1336079052
LBN Legal business name PRIME FOOT AND ANKLE PLLC
Authorized official NEVEEN ABUALI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2026
Last updated 05/22/2026 - About 2 weeks 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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