# HMI FOOT AND ANKLE GROUP, SC

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

## Provider details

- **NPI number:** 1740518307
- **Authorized official:** DR. HAYTHAM MANSOUR DPM, PHD (PODIATRIST)
- **Authorized official phone:** (630) 656-3171

## Contact information

- **Practice address:** 19255 EVERETT LN, SUITE B, MOKENA, IL 60448-8958
- **Practice address phone:** (630) 656-3171
- **Practice address fax:** (630) 657-0131
- **Mailing address:** PO BOX 711, LOMBARD, IL 60148-0711
- **Mailing address phone:** (630) 656-3171
- **Mailing address fax:** (630) 657-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005301 | IL | Yes |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 11/11/2015