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Organization
ILLINOIS INSTITUTE OF FOOT AND ANKLE, P.C.
Active
Organization
ILLINOIS INSTITUTE OF FOOT AND ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJIN KIM (PRESIDENT)
(847) 231-2517
Entity
Organization
Contact information
Practice address
4215 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-2005
(847) 231-2517
(847) 789-7202
Mailing address
4215 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-2005
(847) 231-2517
(847) 789-7202
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
NULL
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
NULL
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005437
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005438
IL
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
03/02/2011
Last updated
07/11/2020
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