Organization
FOOT AND ANKLE PAIN CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL M PATEL DPM (PRESIDENT)
(219) 659-9000
Entity
Organization
Contact information
Practice address
3313 45TH ST, STE M, HIGHLAND, IN 46322-3294
(219) 924-1042
(219) 924-7989
Mailing address
10401 GREAT EGRET DR, ORLAND PARK, IL 60467-8581
(708) 206-0777
(708) 206-0702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07000921A
IN
Other
Enumeration date
06/12/2015
Last updated
06/23/2015
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