# ADVANCED ANKLE & FOOT CARE CENTER LTD

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

## Provider details

- **NPI number:** 1114991387
- **Authorized official:** LAWRENCE M KOSOVA (PRESIDENT)
- **Authorized official phone:** (630) 478-3338

## Contact information

- **Practice address:** 720 BROM DRIVE, SUITE 201, NAPERVILLE, IL 60540-6054
- **Practice address phone:** (630) 478-3338
- **Practice address fax:** (630) 355-3016
- **Mailing address:** PO BOX 577577, CHICAGO, IL 60657-7577
- **Mailing address phone:** (630) 478-3338
- **Mailing address fax:** (630) 355-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 07/27/2020