# FOOT SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1770615148
- **Authorized official:** VICTOR LEWIS HORSLEY DPM (OWNER)
- **Authorized official phone:** (618) 222-6866

## Contact information

- **Practice address:** 4901 W MAIN ST, BELLEVILLE, IL 62226-4724
- **Practice address phone:** (618) 222-1986
- **Practice address fax:** (618) 222-1898
- **Mailing address:** 4901 W MAIN ST, BELLEVILLE, IL 62226-4724
- **Mailing address phone:** (618) 222-1986
- **Mailing address fax:** (618) 222-1898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016.004072 | IL | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 07/25/2008