# ELMHURST FOOT & ANKLE CENTER INC

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

## Provider details

- **NPI number:** 1598508186
- **Authorized official:** DR. DEEP N SHAH DPM, MBA (CO-OWNER)
- **Authorized official phone:** (518) 330-7689

## Contact information

- **Practice address:** 183 W 1ST ST, ELMHURST, IL 60126-2815
- **Practice address phone:** (630) 530-3338
- **Mailing address:** 183 W 1ST ST, ELMHURST, IL 60126-2815
- **Mailing address phone:** (630) 530-3338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 09/18/2024