Crystal Lake Foot & Ankle Center Llc

LBN: Crystal Lake Foot & Ankle Center Llc
Crystal Lake Foot & Ankle Center Llc is an health care organization with primary practice located at 39 S Virginia St , Crystal Lake IL 60014-5826. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Crystal Lake Foot & Ankle Center Llc can be contacted via phone (815) 477-9221, or through Potach, Paul via phone (815) 477-9221.

Contact Information

Primary practice address
39 S Virginia St Crystal Lake IL 60014-5826
Phone: (815) 477-9221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potach, Paul Doctor of Podiatric Medicine (DPM)
Phone: (815) 477-9221

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1649986795
LBN Legal business name Crystal Lake Foot & Ankle Center Llc
DBA Doing business as
Authorized official Potach, Paul Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2023
Last updated May 16th, 2023 - about last year

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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