Provider Demographics
NPI:1912549650
Name:CENTER FOR FOOT AND ANKLE SURGERY LTD
Entity Type:Organization
Organization Name:CENTER FOR FOOT AND ANKLE SURGERY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-553-9300
Mailing Address - Street 1:654 W VETERANS PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-2510
Mailing Address - Country:US
Mailing Address - Phone:630-553-9300
Mailing Address - Fax:630-553-9306
Practice Address - Street 1:654 W VETERANS PKWY STE C
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2510
Practice Address - Country:US
Practice Address - Phone:630-553-9300
Practice Address - Fax:630-553-9306
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR FOOT AND ANKLE SURGERY LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty