Provider Demographics
NPI:1467709410
Name:FOOT & ANKLE CLINICS, LLC
Entity Type:Organization
Organization Name:FOOT & ANKLE CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:H
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:224-448-7060
Mailing Address - Street 1:1590 WEATHERSTONE LN STE 1
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-2059
Mailing Address - Country:US
Mailing Address - Phone:224-448-7060
Mailing Address - Fax:
Practice Address - Street 1:1590 WEATHERSTONE LN STE 1
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2059
Practice Address - Country:US
Practice Address - Phone:224-448-7060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016004795213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty