Libertyville Ankle & Foot Clinic, Inc
LBN: Libertyville Ankle & Foot Clinic, Inc
Libertyville Ankle & Foot Clinic, Inc is an health care organization with primary practice located at 1017 W Park Ave Suite A, Libertyville IL 60048-2502. 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.
Libertyville Ankle & Foot Clinic, Inc can be contacted via phone (847) 362-1320, or through Jacobsen, Scott A via phone (847) 362-1320.
Contact Information
Primary practice address
1017 W Park Ave Suite A
Libertyville IL 60048-2502
Phone: (847) 362-1320
Fax: (847) 362-1823
Website:
Authorized official contact:
Name: Jacobsen, Scott A Doctor of Podiatric Medicine (DPM)
Phone: (847) 362-1320
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016-005031 | Illinois |
Profile Details
| NPI number | 1487630406 |
|---|---|
| LBN Legal business name | Libertyville Ankle & Foot Clinic, Inc |
| DBA Doing business as | |
| Authorized official | Jacobsen, Scott A Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jul 25th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487630406 | NPPES |
| Illinois | MEDICAID | 016005031 | |
| Illinois | Other | P00347050 | |
| Illinois | Other | 04932511 |
Popular Providers
-
Weil Foot And Ankle Institute Llc
1900 Hollister Dr Ste 160 , Libertyville IL 60048-5227 -
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation
9308 Mansfield Rd Ste 100, Shreveport LA 71118-3134 -
Arkansas Foot Care Clinic, Inc
2400 W Main St , Russellville AR 72801-2531 -
Mary Gail Kwiecinski Dpm P C
1870 W Winchester Rd Ste 246 , Libertyville IL 60048-5360 -
Nwia Bone, Joint & Sports Surgeons, Pc
1200 1St Ave E Ste C, Spencer IA 51301-4342 -
Specialty Orthopaedics Psc
6400 Dutchmans Pkwy Ste 215, Louisville KY 40205-3343 -
Fasa Family Wellness, Pllc
1114 Broadway St , Longview WA 98632-3842 -
S M S Do Pa
11528 Us Highway 19 , Port Richey FL 34668-1442