Healthcare Provider Details

I. General information

NPI: 1154498194
Provider Name (Legal Business Name): CENTERS FOR FOOT AND ANKLE SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 N DIVISION STE 305
MORRIS IL
60450-1184
US

IV. Provider business mailing address

1802 N DIVISION ST STE 305
MORRIS IL
60450-1184
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-9050
  • Fax: 815-942-9051
Mailing address:
  • Phone: 815-942-9050
  • Fax: 815-942-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberIL16004810
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: THOMAS RAPPETTE
Title or Position: AUTHORIZED OFFICIAL
Credential: DPM
Phone: 630-553-9300