Provider Demographics
NPI:1114239951
Name:ANKLE AND FOOT ASSOCIATES PC
Entity Type:Organization
Organization Name:ANKLE AND FOOT ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIOSCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:708-579-0047
Mailing Address - Street 1:12 SALT CREEK LN STE 410
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8624
Mailing Address - Country:US
Mailing Address - Phone:708-579-0047
Mailing Address - Fax:708-579-0296
Practice Address - Street 1:12 SALT CREEK LN STE 410
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8624
Practice Address - Country:US
Practice Address - Phone:708-579-0047
Practice Address - Fax:708-579-0296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004560213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1215963194OtherNPI
IL1598753949OtherNPI
IL1750736195OtherNPI