Organization
CHICAGO FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TIMOTHY ALLEN DPM (OWNER)
(773) 925-5700
Entity
Organization
Contact information
Practice address
5700 S KEDZIE AVE, CHICAGO, IL 60629-2408
(773) 925-5700
(773) 925-5775
Mailing address
5700 S KEDZIE AVE, CHICAGO, IL 60629-2408
(773) 925-5700
(773) 925-5775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01638903
BLUE CROSS BLUE SHIELD
IL
01
—
D08726
RAILROAD MEDICARE
IL
Enumeration date
03/10/2008
Last updated
04/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us