Organization
FOOT AND ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN VOHRA DPM (DPM)
(815) 254-3338
Entity
Organization
Contact information
Practice address
24039 W LOCKPORT ST, PLAINFIELD, IL 60544-1652
(815) 254-3338
(815) 436-8367
Mailing address
24039 W LOCKPORT ST, PLAINFIELD, IL 60544-1652
(815) 254-3338
(815) 436-8367
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009908116
BCBS PROVIDER LEGACY ID
IL
01
—
480023719
RAILROAD MEDICARE
IL
Enumeration date
05/23/2007
Last updated
11/05/2008
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