Provider Demographics
NPI:1497787071
Name:AMERICAN FOOT & ANKLE CENTER LTD.
Entity Type:Organization
Organization Name:AMERICAN FOOT & ANKLE CENTER LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMOSKA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-776-1717
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-0454
Mailing Address - Country:US
Mailing Address - Phone:847-776-1717
Mailing Address - Fax:847-590-5609
Practice Address - Street 1:1116 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2214
Practice Address - Country:US
Practice Address - Phone:847-776-1717
Practice Address - Fax:847-590-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01605016OtherBLUE CROSS BLUE SHIELD
ILDB5472OtherPALMETTO
IL01605016OtherBLUE CROSS BLUE SHIELD