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Organization

PERFORMANCE FOOT AND ANKLE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE STEVEN BRINK DPM, FACFAS (DOCTOR)
(708) 596-3757
Entity
Organization

Contact information

Practice address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
(708) 596-3757
(708) 596-3779
Mailing address
401 E 162ND ST, SUITE 101, SOUTH HOLLAND, IL 60473-2236
(708) 596-3757
(708) 596-3779

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IL
332B00000X
Durable Medical Equipment & Medical Supplies
5000520001
IL

Other

Enumeration date
08/01/2006
Last updated
07/21/2022
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