Organization
NORTHERN ILLINOIS FOOT & ANKLE SPECIALIST, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TIMM (COO)
(815) 671-4515
Entity
Organization
Contact information
Practice address
2180 OAKLAND DR UNIT A, SYCAMORE, IL 60178-3122
(815) 671-4515
Mailing address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(815) 671-4515
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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