Organization
FOOTSTEPS OF ILLINOIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUBAIR KHAN DPM (OWNER/AUTHORIZED OFFICIAL)
(815) 229-1008
Entity
Organization
Contact information
Practice address
6999 REDANSA DR STE 5A, ROCKFORD, IL 61108-1201
(815) 229-1008
Mailing address
6999 REDANSA DR STE 5A, ROCKFORD, IL 61108-1201
(815) 229-1008
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/12/2024
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