MEDICARE: FOOT & ANKLE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	016005263	IL

General Provider Information

NPI Number	:	1427069665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT & ANKLE CENTER, LLC

Provider Business Mailing Address
First Line	:	1299 REAVIS BARRACKS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63125-3260
Country	:	US
Telephone Number	:	314-487-9300
Fax Number	:	314-487-9338

Provider Business Practice Location Address
First Line	:	2013 A JOHNSON ROAD
Second Line	:
City	:	GRANITE CITY
State	:	IL
Zip	:	62040
Country	:	US
Telephone Number	:	618-451-7475
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOUIS AQUINO
Credential	:	DPM, FACAS
Telephone Number	:	314-487-9300

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	11/10/2008

Similar Medicare Providers

1871467449 — EVERCARE AT STEARNS LLC
Practice Location Address:

3900 STEARNS AVE
GRANITE CITY, IL
62040-4154

Practice Phone: 618-391-3900
Practice Fax:

1366398265 — EMILY SCARBOROUGH MSW, LCSW
Practice Location Address:

1602 21ST ST
GRANITE CITY, IL
62040-5397

Practice Phone: 618-451-5722
Practice Fax:

1295680684 — REEGAN COUNTRYMAN
Practice Location Address:

2421 CORPORATE CTR STE 100
GRANITE CITY, IL
62040-4195

Practice Phone: 618-589-5165
Practice Fax:

1144224734 — DR. JASON R TALLEY DC
Practice Location Address:

2025 EDISON AVE
GRANITE CITY, IL
62040-4514

Practice Phone: 618-451-2874
Practice Fax: 618-451-2858

1285639559 — DR. PRASANNA C KUMAR M.D.
Practice Location Address:

3165 MYRTLE AVE
GRANITE CITY, IL
62040-5012

Practice Phone: 618-877-3066
Practice Fax: 618-877-3060

1457357147 — DR. BRIAN M FORBES D.C.
Practice Location Address:

4700 NAMEOKI RD
GRANITE CITY, IL
62040-2524

Practice Phone: 618-797-2225
Practice Fax: 618-797-2289

1265439640 — TIMOTHY HIPSKIND
Practice Location Address:

2100 MADISON AVE
GRANITE CITY, IL
62040-4701

Practice Phone: 618-798-3000
Practice Fax: 618-798-3000

Directions to “FOOT & ANKLE CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.