SERENITY FOOT AND ANKLE SPECIALISTS; NPI #1922617778

Contact Information

SERENITY FOOT AND ANKLE SPECIALISTS

767 PARK AVE W
STE 180
HIGHLAND PARK, IL 60035

Phone: 847-380-3700
Fax: 877-540-0387
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 SERENITY FOOT AND ANKLE SPECIALISTS

NPI #	`1922617778`
LBN Legal business name	SERENITY FOOT AND ANKLE SPECIALISTS
Authorized official	NOOREEN IBRAHIM - (PHYSICIAN/CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/28/2020
Last updated	07/25/2022 - About 4 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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SERENITY FOOT AND ANKLE SPECIALISTS

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for SERENITY FOOT AND ANKLE SPECIALISTS

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