Organization
NORTHWEST FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANGLIM DPM (PRESIDENT)
(708) 456-5150
Entity
Organization
Contact information
Practice address
4701 N CUMBERLAND AVE, SUITE 19, NORRIDGE, IL 60706-2905
(708) 456-5150
Mailing address
4701 N CUMBERLAND AVE, SUITE 19, NORRIDGE, IL 60706-2905
(708) 456-5150
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004936
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004936
—
IL
Enumeration date
11/10/2006
Last updated
06/25/2009
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