Provider Demographics
NPI:1275998718
Name:FOOT CARE CONSULTANTS INC
Entity Type:Organization
Organization Name:FOOT CARE CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-705-6765
Mailing Address - Street 1:PO BOX 5670
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-5670
Mailing Address - Country:US
Mailing Address - Phone:847-705-6765
Mailing Address - Fax:630-359-4600
Practice Address - Street 1:675 N NORTH CT
Practice Address - Street 2:SUITE 180
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8157
Practice Address - Country:US
Practice Address - Phone:847-705-6765
Practice Address - Fax:630-359-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies