Footco Orthopedic

LBN: Footco Orthopedic
Footco Orthopedic is an health care organization with primary practice located at 3723 N Southport Ave , Chicago IL 60613-3718. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Footco Orthopedic can be contacted via phone (312) 409-2175, or through Porcelli, Tim via phone (312) 409-2175.

Contact Information

Primary practice address
3723 N Southport Ave Chicago IL 60613-3718
Phone: (312) 409-2175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porcelli, Tim LC PED
Phone: (312) 409-2175

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 212.000115 Illinois

Profile Details

NPI number 1124286927
LBN Legal business name Footco Orthopedic
DBA Doing business as
Authorized official Porcelli, Tim LC PED
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated May 28th, 2008 - about 17 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 1124286927 NPPES
Illinois Other 1670909 BLUE CROSS

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