# FOOT & ANKLE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOOT & ANKLE CENTER
- **Other names:** Foot & Ankle Center Fairview Heights
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942427026
- **Legal business name:** FOOT & ANKLE CENTER
- **Authorized official:** LOUIS AQUINO DPM (OWNER)
- **Authorized official phone:** (618) 632-4885

## Contact information

- **Practice address:** 5400 N ILLINOIS ST, STE 101, FAIRVIEW HEIGHTS, IL 62208-3501
- **Practice address phone:** (618) 632-4885
- **Practice address fax:** (618) 632-0350
- **Mailing address:** 1299 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-3260
- **Mailing address phone:** (314) 989-0300

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 12/24/2008