Organization
ILLINOIS INSTITUTE OF FOOT AND ANKLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJIN KIM (PRESIDENT)
(847) 231-2517
Entity
Organization
Contact information
Practice address
4215 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-2005
(847) 231-2517
(847) 789-7202
Mailing address
4215 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-2005
(847) 231-2517
(847) 789-7202
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005437
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016005438
IL
213ES0131X
Foot Surgery Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
03/02/2011
Last updated
07/11/2020
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