# CHICAGO FOOT & ANKLE DEFORMITY CORRECTION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013197920
- **Authorized official:** EDGARDO RODRIGUEZ MD (PHYSICIAN)
- **Authorized official phone:** (312) 355-3939

## Contact information

- **Practice address:** 60 E DELAWARE PL, SUITE 1480, CHICAGO, IL 60611-1998
- **Practice address phone:** (312) 355-3939
- **Mailing address:** 60 E DELAWARE PL, SUITE 1480, CHICAGO, IL 60611-1998
- **Mailing address phone:** (312) 355-3939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 16004892 | IL | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007
