Organization
FOOT & ANKLE CENTER, LLC
Active
Parent organization
FOOT & ANKLE CENTER, LLC
Other names
Foot & Ankle Center-Pinckneyville
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT & ANKLE CENTER, LLC
Authorized official
LOUIS AQUINO DPM, FACAS (PRESIDENT)
(314) 487-9300
Entity
Organization
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
(618) 357-3165
Mailing address
1299 REAVIS BARRACKS RD, SAINT LOUIS, MO 63125-3260
(314) 487-9300
(314) 487-9338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005263
IL
Other
Enumeration date
08/14/2006
Last updated
11/10/2008
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