MEDICARE: AMERICAN FOOT CARE CENTER INC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1750453734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FOOT CARE CENTER INC

Provider Business Mailing Address
First Line	:	1757 RIDGE RD
Second Line	:	SUITE 102
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1812
Country	:	US
Telephone Number	:	708-798-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 RIDGE RD
Second Line	:	SUITE 102
City	:	HOMEWOOD
State	:	IL
Zip	:	60430-1812
Country	:	US
Telephone Number	:	708-798-7500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JULIA EVE SHAUGER
Credential	:	D.P.M.
Telephone Number	:	708-798-7500

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	12/05/2007

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Directions to “AMERICAN FOOT CARE CENTER INC ” Practice Location

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