# ASSOCIATED FOOT SURGEONS OF SOUTHWEST ILLINOIS, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associated Foot Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740653591
- **Authorized official:** MR. ERIC C WHITTENBURG DPM (PRESIDENT)
- **Authorized official phone:** (618) 277-5700

## Contact information

- **Practice address:** 2900 FRANK SCOTT PKWY W, STE 900, BELLEVILLE, IL 62223-5000
- **Practice address phone:** (618) 277-5700
- **Practice address fax:** (618) 257-7049
- **Mailing address:** 2900 FRANK SCOTT PKWY W, STE 900, BELLEVILLE, IL 62223-5000
- **Mailing address phone:** (618) 277-5700
- **Mailing address fax:** (618) 257-7049

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015
