NPI 1104981422

Affiliated Podiatrists of Illinois LTD.

Organisation Podiatrist Northbrook, IL

Practice location

Address: 350 Oak Knoll Ter, Northbrook, IL 60062-1048
Phone: (847) 562-9864
Fax: (847) 562-9865
Mailing address: PO Box 220, Matteson, IL 60443-0220

Authorised official

Name: Jacob W Greenspan
Title: Owner
Phone: (847) 562-9864

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016-003364 (IL)

Other Podiatrist providers in Illinois →

Registry record

NPI: 1104981422
Entity type: Organization
NPI issued: 27 Dec 2006
Record last updated: 25 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.