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General NPI Number Information
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NPI Number | 1598058547
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE CENTER OF ILLINOIS PC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2921 MONTVALE DR
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City | SPRINGFIELD
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State | IL
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Zip | 62704-5359
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Country | US
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Telephone | 217-787-2700
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Fax | 217-787-2715
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Provider Business Mailing Address
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Address Line | 2921 MONTVALE DR
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City | SPRINGFIELD
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State | IL
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Zip | 62704-5359
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Country | US
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Telephone | 217-787-2700
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Fax | 217-787-2715
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN MICHAEL SIGLE
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Credential | DPM
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Telephone | 217-787-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 016005201
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License Number State | IL
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