Organization
IL FOOT & ANKLE CLINIC MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER YANOVSKIY (PRESIDENT)
(847) 298-3338
Entity
Organization
Contact information
Practice address
1400 E GOLF RD STE 201, DES PLAINES, IL 60016-8821
(847) 298-3338
(847) 298-3334
Mailing address
1400 E GOLF RD STE 201, DES PLAINES, IL 60016-8821
(773) 614-3302
(847) 906-1092
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005284
—
IL
Enumeration date
07/30/2007
Last updated
05/21/2020
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