| Crystal Lake Foot & Ankle Center Llc | |
|
39 S Virginia St, Crystal Lake, IL 60014-5826 | |
| (815) 477-9221 | |
| Not Available |
| Full Name | Crystal Lake Foot & Ankle Center Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 39 S Virginia St, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649986795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Paul Potach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073627410 PECOS PAC ID: 4082703681 Enrollment ID: I20071205000105 |
| Provider Name | Jeffrey G Blank |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235142605 PECOS PAC ID: 7719934967 Enrollment ID: I20110301000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Foot & Ankle Center Llc 39 S Virginia St, Crystal Lake, IL 60014-5826 Ph: (815) 477-9221 | Crystal Lake Foot & Ankle Center Llc 39 S Virginia St, Crystal Lake, IL 60014-5826 Ph: (815) 477-9221 |
Northern Illinois Foot & Ankle Specialists, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014 Phone: 847-639-5800 Fax: 847-639-2980 | |
Cheryl R Brown, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1520 Carlemont Dr Ste M, Crystal Lake, IL 60014 Phone: 815-356-5060 Fax: 815-356-7898 | |
Dr. Summer Evalyn Schaal Bochat, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014 Phone: 847-639-5800 | |
Mrs. Neha Singla Jani, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014 Phone: 847-639-5800 | |
Natasha Bhagat, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014 Phone: 847-639-5800 | |
Rahil Baxamusa Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014 Phone: 815-455-3788 Fax: 815-455-4657 | |
Robert F Patte Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014 Phone: 815-455-3788 Fax: 815-455-4657 |