# ANKLE AND FOOT SURGERY LLC

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

## Provider details

- **NPI number:** 1790336584
- **Authorized official:** PAUL LUCAS DPM (OWNER)
- **Authorized official phone:** (847) 228-6543

## Contact information

- **Practice address:** 800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
- **Practice address phone:** (847) 228-6543
- **Mailing address:** 800 BIESTERFIELD RD STE 207, ELK GROVE VILLAGE, IL 60007-3378
- **Mailing address phone:** (847) 228-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2019
- **Last updated:** 09/24/2019