# GREAT LAKES FOOT & ANKLE INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes Foot & Ankle Institute PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063445237
- **Authorized official:** STEPHEN FRASCONE DPM (OWNER)
- **Authorized official phone:** (586) 725-3444

## Contact information

- **Practice address:** 32743 23 MILE RD STE 110, CHESTERFIELD, MI 48047-2082
- **Practice address phone:** (586) 725-3444
- **Practice address fax:** (586) 725-0984
- **Mailing address:** 9400 S CICERO AVE STE 100, OAK LAWN, IL 60453-2536
- **Mailing address phone:** (708) 424-3201
- **Mailing address fax:** (708) 424-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/17/2025