Organization
ADVANCED ANKLE & FOOT CARE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M KOSOVA (PRESIDENT)
(630) 478-3338
Entity
Organization
Contact information
Practice address
720 BROM DRIVE, SUITE 201, NAPERVILLE, IL 60540-6054
(630) 478-3338
(630) 355-3016
Mailing address
PO BOX 577577, CHICAGO, IL 60657-7577
(630) 478-3338
(630) 355-3016
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
02/15/2006
Last updated
07/27/2020
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