# PRAIRIE FOOT & ANKLE, P.C.

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

## Provider details

- **NPI number:** 1881936649
- **Authorized official:** DENISE MARY-DANIELLE LEE MM/HRM (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (224) 227-6973

## Contact information

- **Practice address:** 2371 BOWES ROAD, SUITE 400, ELGIN, IL 60123
- **Practice address phone:** (630) 715-8291
- **Mailing address:** 2371 BOWES ROAD, STE 400, ELGIN, IL 60123
- **Mailing address phone:** (630) 715-8291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016.005367 | IL | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 06/20/2018
