Organization
ELMHURST FOOT & ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEP N SHAH DPM, MBA (CO-OWNER)
(518) 330-7689
Entity
Organization
Contact information
Practice address
183 W 1ST ST, ELMHURST, IL 60126-2815
(630) 530-3338
Mailing address
183 W 1ST ST, ELMHURST, IL 60126-2815
(630) 530-3338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QP1100X
Podiatric Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/13/2024
Last updated
09/18/2024
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