| Il Foot & Ankle Clinic Medical Corp | |
| 
					1400 E Golf Rd Ste 201, Des Plaines, IL 60016-8821  | |
| (847) 298-3338 | |
| (847) 298-3334 | 
| Full Name | Il Foot & Ankle Clinic Medical Corp | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 1400 E Golf Rd Ste 201, Des Plaines, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295925899 | NPI | - | NPPES | 
| 016005284 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005284 (Illinois) | Primary | 
| Provider Name | Robert S Glick | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1982742920 PECOS PAC ID: 8224934336 Enrollment ID: I20031210000112  | 
| Provider Name | Alexander Yanovskiy | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1992724488 PECOS PAC ID: 7113020793 Enrollment ID: I20070320000437  | 
| Provider Name | Nooreen Ibrahim | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1720433212 PECOS PAC ID: 8123455623 Enrollment ID: I20200224000025  | 
| Provider Name | Stephanie Atoyebi | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1548826571 PECOS PAC ID: 0547664575 Enrollment ID: I20210812000866  | 
| Provider Name | Gagandeep Sandhu | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1255986055 PECOS PAC ID: 6204213861 Enrollment ID: I20230620000851  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Il Foot & Ankle Clinic Medical Corp 1400 E Golf Rd Ste 201, Des Plaines, IL 60016-8821 Ph: (773) 614-3302  | Il Foot & Ankle Clinic Medical Corp 1400 E Golf Rd Ste 201, Des Plaines, IL 60016-8821 Ph: (847) 298-3338  | 
Lowell Scott Weil Sr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1455 E Golf Rd, Suite 110, Des Plaines, IL 60016 Phone: 847-390-7666 Fax: 847-390-9345  | |
Podiatry Associates Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 770 Lee Street, Suite 101, Des Plaines, IL 60016 Phone: 847-298-5252 Fax: 847-298-0891  | |
Dr. James H. Lawton, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1455 E Golf Rd, 110, Des Plaines, IL 60016 Phone: 847-390-7666 Fax: 847-390-9345  | |
Medora Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Golf Rd Ste 201, Des Plaines, IL 60016 Phone: 224-676-0462 Fax: 847-906-1092  | |
Dr. Donna Jean Defronzo, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1455 E Golf Rd, Suite 110, Des Plaines, IL 60016 Phone: 847-390-7666 Fax: 847-390-9345  | |
Soyoung Kwon Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9820 Milwaukee Ave, C-d, Des Plaines, IL 60016 Phone: 847-213-9003  | |
Dr. Louis Anthony Sorto Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 770 Lee Street, Suite 101, Des Plaines, IL 60016 Phone: 847-298-5252 Fax: 847-298-0891  |