# ILLINOIS FOOT AND ANKLE SPECIALISTS, P.C.

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

## Provider details

- **NPI number:** 1760721963
- **Authorized official:** KATARZYNA NIETUPSKI D.P.M. (OWNER)
- **Authorized official phone:** (630) 699-5089

## Contact information

- **Practice address:** 5485 N MILWAUKEE AVE, CHICAGO, IL 60630-1249
- **Practice address phone:** (773) 763-6655
- **Practice address fax:** (773) 763-5117
- **Mailing address:** 557 N PLAMONDON DR, ADDISON, IL 60101-1933
- **Mailing address phone:** (630) 699-5089
- **Mailing address fax:** (914) 459-0062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016005453 | IL | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013