Provider Demographics
NPI:1104836915
Name:ARONOFF FOOT AND ANKLE CLINIC
Entity Type:Organization
Organization Name:ARONOFF FOOT AND ANKLE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:773-769-3310
Mailing Address - Street 1:5310 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2515
Mailing Address - Country:US
Mailing Address - Phone:773-769-3310
Mailing Address - Fax:773-769-3398
Practice Address - Street 1:5310 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:773-769-3310
Practice Address - Fax:773-769-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU72137Medicare UPIN
IL6360110001Medicare NSC
IL211671Medicare ID - Type UnspecifiedGROUP PROVIDER ID