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General NPI Number Information
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NPI Number | 1679487946
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Entity Type | Organization
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Legal Business Name | ELMHURST FOOT & ANKLE CENTER INC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL RD STE 101
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2140
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Country | US
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Telephone | 630-893-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E ARMY TRAIL RD STE 101
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2140
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Country | US
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Telephone | 630-893-3668
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DEEP N SHAH
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Credential | DPM
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Telephone | 518-330-7689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | NULL
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