# THE INSTITUTE OF FOOT & ANKLE RECONSTRUCTIVE SURGERY, LLC

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

## Provider details

- **NPI number:** 1932395464
- **Authorized official:** DR. AHMAD KASSEM ELSAMAD DPM (PODIATRIST)
- **Authorized official phone:** (219) 488-6409

## Contact information

- **Practice address:** 9239 BROADWAY, MERRILLVILLE, IN 46410-7046
- **Practice address phone:** (219) 736-1010
- **Practice address fax:** (219) 736-1090
- **Mailing address:** 9120 DOUBLETREE DR S, CROWN POINT, IN 46307-7655
- **Mailing address phone:** (219) 779-9407
- **Mailing address fax:** (219) 779-9403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07001024A | IN | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 07/24/2013