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General NPI Number Information
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NPI Number | 1952718488
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Entity Type | Organization
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Legal Business Name | MACNAB FOOT AND ANKLE CENTER, PC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 151 W HIGH ST
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City | MORRIS
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State | IL
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Zip | 60450-1407
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Country | US
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Telephone | 815-941-5000
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Fax | 815-941-5020
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Provider Business Mailing Address
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Address Line | 13645 S CHIPPEWA TRL
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City | HOMER GLEN
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State | IL
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Zip | 60491-9648
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Country | US
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Telephone | 708-301-4205
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT KENNETH MACNAB
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Credential | D.P.M.
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Telephone | 815-725-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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