MEDICARE: AGONY OF DE-FEET 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	335E00000X	Prosthetic/Orthotic Supplier		IL

General Provider Information

NPI Number	:	1902093024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGONY OF DE-FEET LTD.

Provider Business Mailing Address
First Line	:	1324 S MILWAUKEE AVE
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-3795
Country	:	US
Telephone Number	:	847-680-7534
Fax Number	:	847-680-1338

Provider Business Practice Location Address
First Line	:	1324 S MILWAUKEE AVE
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-3795
Country	:	US
Telephone Number	:	847-680-7534
Fax Number	:	847-680-1338

Authorized Official
Title or Position	:	PRESIDENT/MANAGER
Name	:	MR. JAY UMANSKY
Credential	:	PEDORTHIST
Telephone Number	:	847-680-7534

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/02/2007

Similar Medicare Providers

1811740046 — YOUR HEALTHCARE SOURCE PLLC
Practice Location Address:

1366 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-236-0323
Practice Fax:

1013065705 — MRS. KATHLEEN C PIAZZI OT
Practice Location Address:

1352 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-549-1460
Practice Fax:

1811040306 — ARMENAK ASATRYAN M.D.
Practice Location Address:

1366 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-236-0323
Practice Fax:

1104251214 — DR. MELISSA FRANK DPT
Practice Location Address:

1352 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-549-1460
Practice Fax: 847-549-1490

1811390156 — ACCELERATED REHABILITATION CENTERS LTD
Practice Location Address:

1352 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-549-1460
Practice Fax:

1841645058 — MICHAEL LEZON DPT
Practice Location Address:

1352 S MILWAUKEE AVE
LIBERTYVILLE, IL
60048-3795

Practice Phone: 847-549-1460
Practice Fax: 847-549-1490

Directions to “AGONY OF DE-FEET LTD. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.