Provider Demographics
NPI:1013227263
Name:FOOT & ANKLE HEALTHCARE CENTER LTD
Entity Type:Organization
Organization Name:FOOT & ANKLE HEALTHCARE CENTER LTD
Other - Org Name:EUROPEAN FOOT AND ANKLE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:D.P.M.
Authorized Official - Prefix:
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PODOLSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-205-0106
Mailing Address - Street 1:5501 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4130
Mailing Address - Country:US
Mailing Address - Phone:773-205-0106
Mailing Address - Fax:773-205-8107
Practice Address - Street 1:1440 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2822
Practice Address - Country:US
Practice Address - Phone:312-880-0067
Practice Address - Fax:312-880-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004982213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty