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1427854215 NPI number — NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD

NPI Number: 1427854215
Health Care Provider/Practitioner: NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD

Information about “1427854215” NPI (NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD) exists in 1427854215 in HTML format HTML  |  1427854215 in plain Text format TXT  |  1427854215 in PDF (Portable Document Format) PDF  |  1427854215 in an XML format XML  formats.

NPI Number : 1427854215 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427854215",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD",
    "ParentOrgTIN": null,
    "OrgName": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "750 E TERRA COTTA AVE STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CRYSTAL LAKE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60014-3621",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "478-639-5800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "111 E LAKE ST STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOOMINGDALE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60108-1153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-639-5800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2025",
    "LastUpdateDate": "05/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCENEANEY",
    "AuthorizedOfficialFirstName": "PATRICK",
    "AuthorizedOfficialMiddleName": "ALLEN",
    "AuthorizedOfficialTitle": "OWNER. CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DPM",
    "AuthorizedOfficialTelephoneNumber": "847-639-5800",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP1100X",
        "TaxonomyName": "Podiatric Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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