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
Fax: (708) 749-0727
Website:
Authorized official contact:
Name: Mercado-Ciessau, Cynthia M. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790783736 NPPES
Illinois MEDICAID 016004482

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