Healthcare Provider Details

I. General information

NPI: 1336389204
Provider Name (Legal Business Name): FOX VALLEY FOOT SPECIALISTS,LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1279 S NAPER BLVD
NAPERVILLE IL
60540-8300
US

IV. Provider business mailing address

1279 S NAPER BLVD
NAPERVILLE IL
60540-8300
US

V. Phone/Fax

Practice location:
  • Phone: 630-548-3900
  • Fax: 630-548-3905
Mailing address:
  • Phone: 630-548-3900
  • Fax: 630-548-3905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number060-007904
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number060-007904
License Number StateIL

VIII. Authorized Official

Name: DR. BRENDON J. MCCARTHY
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 630-548-3900