Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHWEST MEDICAL AFFILIATES, PC
Active OrganizationSOUTHWEST MEDICAL AFFILIATES, PC is a Foot & Ankle Surgery Podiatrist organization located in CHICAGO RIDGE, Illinois. NPI 1760603054 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · CHICAGO RIDGE, IL
Registration Details
- NPI Number
- 1760603054
- Provider Type
- Organization
- NPI Issued
- May 2, 2007 (19.241647758013 yrs)
- Last Updated
- Nov 20, 2012
- Licenses
-
036063034 (IL)036063793 (IL)016004378 (IL)
Practice Information
- Address
-
5630 111TH STCHICAGO RIDGE, IL, 604152406Browse IL providers · Browse ZIP 60415
- Phone
- 7088575800
- Fax
- 7088575805
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.