Organization
SUBURBAN FOOT & ANKLE ASSOCIATES, INC
Active
Parent organization
SUBURBAN FOOT & ANKLE ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBURBAN FOOT & ANKLE ASSOCIATES, INC
Authorized official
DR. PAUL T. BASILE DPM (PRESEIDENT)
(815) 439-1188
Entity
Organization
Contact information
Practice address
15724 S ROUTE 59, SUITE 100, PLAINFIELD, IL 60544-2795
(815) 439-1188
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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