Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITASCA FOOT AND ANKLE LTD
Active OrganizationITASCA FOOT AND ANKLE LTD is a Foot & Ankle Surgery Podiatrist organization located in ITASCA, Illinois. NPI 1912019548 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ITASCA, IL
Registration Details
- NPI Number
- 1912019548
- Provider Type
- Organization
- NPI Issued
- Aug 31, 2006 (19.937324551008 yrs)
- Last Updated
- Feb 5, 2026
- License
-
016 004114 (IL)
Practice Information
- Address
-
209 N WALNUT STITASCA, IL, 601431730Browse IL providers · Browse ZIP 60143
- Phone
- 6307732478
- Fax
- 6307733695
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
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.