Mercado Foot And Ankle Clinics South
LBN: Mercado Foot And Ankle Clinics South
Mercado Foot And Ankle Clinics South is an health care organization with primary practice located at 3245 Grove Ave Suite 106, Berwyn IL 60402-3474. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Mercado Foot And Ankle Clinics South can be contacted via phone (708) 484-3599, or through Mercado-Ciessau, Cynthia M. via phone (708) 484-3599.
Contact Information
Primary practice address
3245 Grove Ave Suite 106
Berwyn IL 60402-3474
Phone: (708) 484-3599
Fax: (708) 749-0727
Website:
Authorized official contact:
Name: Mercado-Ciessau, Cynthia M. Doctor of Podiatric Medicine (DPM)
Phone: (708) 484-3599
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004482 | Illinois |
Profile Details
NPI number | 1790783736 |
---|---|
LBN Legal business name | Mercado Foot And Ankle Clinics South |
DBA Doing business as | |
Authorized official | Mercado-Ciessau, Cynthia M. Doctor of Podiatric Medicine (DPM) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Jan 28th, 2010 - about 14 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 | 1790783736 | NPPES |
Illinois | MEDICAID | 016004482 |
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