# IL FOOT & ANKLE CLINIC MEDICAL CORP

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

## Provider details

- **NPI number:** 1295925899
- **Authorized official:** DR. ALEXANDER YANOVSKIY (PRESIDENT)
- **Authorized official phone:** (847) 298-3338

## Contact information

- **Practice address:** 1400 E GOLF RD STE 201, DES PLAINES, IL 60016-8821
- **Practice address phone:** (847) 298-3338
- **Practice address fax:** (847) 298-3334
- **Mailing address:** 1400 E GOLF RD STE 201, DES PLAINES, IL 60016-8821
- **Mailing address phone:** (773) 614-3302
- **Mailing address fax:** (847) 906-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-005284 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 05/21/2020
