Healthcare Provider Details
I. General information
NPI: 1649319120
Provider Name (Legal Business Name): DONETS FOOT AND ANKLE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1450 BUSCH PKWY # 150
BUFFALO GROVE IL
60089-4541
US
IV. Provider business mailing address
1450 BUSCH PKWY # 150
BUFFALO GROVE IL
60089-4541
US
V. Phone/Fax
- Phone: 847-392-8080
- Fax: 847-279-0595
- Phone: 847-392-8080
- Fax: 847-279-0595
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 016005156 |
| License Number State | IL |
VIII. Authorized Official
Name:
ILONA
DONETS
Title or Position: MANAGER
Credential:
Phone: 847-392-8080