A Bridgeport Foot And Ankle Clinic, Ltd

LBN: A Bridgeport Foot And Ankle Clinic, Ltd
A Bridgeport Foot And Ankle Clinic, Ltd is an health care organization with primary practice located at 9933 Lawler Ave Suite 225, Skokie IL 60077-3703. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. A Bridgeport Foot And Ankle Clinic, Ltd can be contacted via phone (312) 225-2444, or through Weiser, Sidney via phone (312) 225-2444.

Contact Information

Primary practice address
9933 Lawler Ave Suite 225 Skokie IL 60077-3703
Fax: (847) 674-2113
Website:
Authorized official contact:
Name: Weiser, Sidney Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1053421180
LBN Legal business name A Bridgeport Foot And Ankle Clinic, Ltd
DBA Doing business as
Authorized official Weiser, Sidney Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053421180 NPPES
Illinois MEDICAID 016004192
Illinois Other 01635040

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