Total Foot And Ankle Pllc | |
1111 Superior St Ste 405 Melrose Park IL 60160-4138 | |
(773) 729-2329 | |
Not Available |
Full Name | Total Foot And Ankle Pllc |
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Speciality | Podiatrist |
Location | 1111 Superior St Ste 405, Melrose Park, Illinois |
Authorized Official Name and Position | Stephanie Atoyebi (CEO) |
Authorized Official Contact | 7737292329 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Foot And Ankle Pllc 4149 S Cottage Grove 411 Chicago IL 60653 Ph: (773) 729-2329 | Total Foot And Ankle Pllc 1111 Superior St Ste 405 Melrose Park IL 60160-4138 Ph: (773) 729-2329 |
NPI Number | 1245970417 |
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Provider Enumeration Date | 03/29/2022 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 7214324987 |
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Medicare Enrollment ID | O20220427001735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245970417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Stephanie Atoyebi |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548826571 PECOS PAC ID: 0547664575 Enrollment ID: I20210812000866 |
Provider Name | Shaheera Fatima Khan |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1861059834 PECOS PAC ID: 6002213360 Enrollment ID: I20210929001401 |
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