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Organization
PERFORMANCE FOOT AND ANKLE CENTER LLC
Active
Organization
PERFORMANCE FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE STEVEN BRINK DPM, FACFAS (DOCTOR)
(708) 596-3757
Entity
Organization
Contact information
Practice address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
(708) 596-3757
(708) 596-3779
Mailing address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
(708) 596-3757
(708) 596-3779
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
332B00000X
Durable Medical Equipment & Medical Supplies
5000520001
IL
Other
Enumeration date
08/01/2006
Last updated
07/21/2022
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