Healthcare Provider Details

I. General information

NPI: 1215181573
Provider Name (Legal Business Name): BESTER FOOT & ANKLE CARE, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 04/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2242 OGDEN AVE
AURORA IL
60504-7218
US

IV. Provider business mailing address

747 E BOUGHTON RD SUITE 134
BOLINGBROOK IL
60440-2281
US

V. Phone/Fax

Practice location:
  • Phone: 630-688-6073
  • Fax:
Mailing address:
  • Phone: 630-688-6073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT M. BESTER
Title or Position: PRESIDENT
Credential: DPM
Phone: 630-688-6073