FAMILY FOOT AND ANKLE CARE, P.C. (NPI# 1104941574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104941574 |
Entity Type | Organization |
Organization Name | FAMILY FOOT AND ANKLE CARE, P.C. |
Practice Address |
550 E Boughton Rd Ste 195 Bolingbrook IL 60440-2194 |
Practice Telephone | 6307396610 |
Practice Fax Number | 6304102482 |
Mailing Telephone | 6307396610 |
Mailing Fax Number | 6304102482 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2013-08-05 |
Authorized Official Name | MARY E. DORAN (PRESIDENT) |
Authorized Official Telephone | 6307396610 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
550 E BOUGHTON RD STE 195 |
City | BOLINGBROOK |
State | IL |
Zip Code | 60440-2194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619976016 | Mary E. Doran | Podiatrist | 550 E Boughton Rd Ste 195, Bolingbrook, IL 60440-2194 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
Find all providers in zip 60440 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447586078 | Accurate Medical Supply | Durable Medical Equipment & Medical Supplies | 684 W Boughton Rd Ste 104, Bolingbrook, IL 60440-1793 | 2009-11-02 |
1285807891 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 680 E Boughton Rd, Bolingbrook, IL 60440-2202 | 2008-04-04 |
1952453383 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 695 W Boughton Rd., Bolingbrook, IL 60440-1752 | 2007-01-17 |
1801990759 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1725 W Boughton Rd, Bolingbrook, IL 60490-1550 | 2006-09-12 |
1174630669 | Berm's Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 751 E Boughton Rd, Bolingbrook, IL 60440-2281 | 2006-08-23 |
1467469494 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 Lily Cache Ln, Bolingbrook, IL 60440-4895 | 2006-08-02 |
1417962689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1295 Lily Cache Ln, Bolingbrook, IL 60490-4500 | 2006-07-29 |
1790707503 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2006-07-24 |
1013934389 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 200 S Bolingbrook Dr, Bolingbrook, IL 60440-2932 | 2006-07-16 |
1891741286 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 128 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2006-05-26 |
Find all providers in BOLINGBROOK |
City | BOLINGBROOK |
Zip Code | 60440 |
Please comment or provide details below to improve the information on FAMILY FOOT AND ANKLE CARE, P.C..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.