Active Foot & Ankle Associates Pc

LBN: Active Foot & Ankle Associates Pc
Active Foot & Ankle Associates Pc is an health care organization with primary practice located at 3935 W 26Th St , Chicago IL 60623-3706. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Active Foot & Ankle Associates Pc can be contacted via phone (773) 762-2000, or through Minerof, Barry W via phone (773) 762-2000.

Contact Information

Primary practice address
3935 W 26Th St Chicago IL 60623-3706
Phone: (773) 762-2000
Fax: (773) 762-3350
Website:
Map and Directions
Authorized official contact:
Name: Minerof, Barry W Doctor of Podiatric Medicine (DPM)
Phone: (773) 762-2000

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1578688701
LBN Legal business name Active Foot & Ankle Associates Pc
DBA Doing business as
Authorized official Minerof, Barry W Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 23rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578688701 NPPES
Illinois Other 60010797 BCBS

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