# MERCADO FOOT & ANKLE CLINIC WEST LLC

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

## Provider details

- **NPI number:** 1447360896
- **Authorized official:** DR. O. KENT MERCADO D.P.M. (DIRECTOR)
- **Authorized official phone:** (630) 922-7722

## Contact information

- **Practice address:** 24024 BRANCASTER DR, NAPERVILLE, IL 60564-8044
- **Practice address phone:** (630) 922-7722
- **Practice address fax:** (630) 922-7727
- **Mailing address:** 24024 BRANCASTER DR, NAPERVILLE, IL 60564-8044
- **Mailing address phone:** (630) 922-7722
- **Mailing address fax:** (630) 922-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004238 | IL | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/23/2016