Provider Demographics
NPI:1851399299
Name:NUMBERS, ALAN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:NUMBERS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5435 BULL VALLEY RD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-2209
Mailing Address - Country:US
Mailing Address - Phone:815-385-5800
Mailing Address - Fax:815-385-5802
Practice Address - Street 1:5435 BULL VALLEY RD.
Practice Address - Street 2:SUITE 102
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-2209
Practice Address - Country:US
Practice Address - Phone:815-385-5800
Practice Address - Fax:815-385-5802
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2014-07-22
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
IL016003081213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT37517Medicare UPIN
IL655130Medicare PIN