Provider Demographics
NPI:1760131163
Name:BAILEY FOOT & ANKLE SPECIALISTS, PC
Entity Type:Organization
Organization Name:BAILEY FOOT & ANKLE SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:815-230-2255
Mailing Address - Street 1:84 TEMPLETON DR STE 101
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7013
Mailing Address - Country:US
Mailing Address - Phone:815-733-6571
Mailing Address - Fax:815-230-4925
Practice Address - Street 1:84 TEMPLETON DR STE 101
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-7013
Practice Address - Country:US
Practice Address - Phone:815-733-6571
Practice Address - Fax:815-230-4925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty