ACTIVE FOOT & ANKLE ASSOCIATES PC; NPI #1578688701

Contact Information

ACTIVE FOOT & ANKLE ASSOCIATES PC

3935 W 26TH ST
CHICAGO, IL 60623-3706

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

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NPI Profile & details for ACTIVE FOOT & ANKLE ASSOCIATES PC

NPI # 1578688701

LBN Legal business name ACTIVE FOOT & ANKLE ASSOCIATES PC

Authorized official BARRY MINEROF - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/20/2007

Last updated 03/23/2011 - About 15 years ago

Identifiers

Other

60010797

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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ACTIVE FOOT & ANKLE ASSOCIATES PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ACTIVE FOOT & ANKLE ASSOCIATES PC

Reviews for ACTIVE FOOT & ANKLE ASSOCIATES PC