# NORTHWEST COMMUNITY FOOT AND ANKLE CENTER LLC

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

## Provider details

- **NPI number:** 1679022636
- **Authorized official:** STEPHEN O SCOGNA (CEO)
- **Authorized official phone:** (847) 618-5000

## Contact information

- **Practice address:** 1455 E GOLF RD STE 134, DES PLAINES, IL 60016-1250
- **Practice address phone:** (847) 629-0457
- **Mailing address:** 3060 W SALT CREEK LN, ARLINGTON HEIGHTS, IL 60005-1069
- **Mailing address phone:** (847) 618-3754

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 01/17/2017