MEDICARE: FOX VALLEY FOOT SPECIALISTS,LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP1100X	Podiatric Clinic/Center	060007904	IL

General Provider Information

NPI Number	:	1649546532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOX VALLEY FOOT SPECIALISTS,LTD

Provider Business Mailing Address
First Line	:	1279 S NAPER BLVD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8300
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1279 S NAPER BLVD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8300
Country	:	US
Telephone Number	:	630-548-3900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NADIA SADEGHI
Credential	:	DPM
Telephone Number	:	630-548-3900

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	10/23/2025

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