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General NPI Number Information
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NPI Number | 1831497668
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Entity Type | Organization
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Legal Business Name | ILLINOIS INSTITUTE OF FOOT AND ANKLE, P.C.
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 07/11/2020
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Provider Practice Location Address
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Address Line | 4215 KIRCHOFF RD
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-2005
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Country | US
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Telephone | 847-231-2517
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Fax | 847-789-7202
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Provider Business Mailing Address
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Address Line | 4215 KIRCHOFF RD
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City | ROLLING MEADOWS
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State | IL
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Zip | 60008-2005
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Country | US
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Telephone | 847-231-2517
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Fax | 847-789-7202
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUJIN KIM
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Credential |
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Telephone | 847-231-2517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005438
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005437
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License Number State | IL
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