Healthcare Provider Details
I. General information
NPI: 1821929464
Provider Name (Legal Business Name): HORIZON FOOT AND ANKLE SPECIALISTS OF ILLINOIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1213 JOLIET ST STE C
WEST CHICAGO IL
60185-3700
US
IV. Provider business mailing address
1213 JOLIET ST STE C
WEST CHICAGO IL
60185-3700
US
V. Phone/Fax
- Phone: 630-276-3831
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SYED
ADNAN
ALI
Title or Position: PODIATRIST
Credential: DPM
Phone: 630-276-3831