Provider Demographics
NPI:1780384438
Name:NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
Entity type:Organization
Organization Name:NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MCENEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:847-639-5800
Mailing Address - Street 1:3200 W HIGGINS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2064
Mailing Address - Country:US
Mailing Address - Phone:815-671-4515
Mailing Address - Fax:
Practice Address - Street 1:3200 W HIGGINS RD STE 106
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2064
Practice Address - Country:US
Practice Address - Phone:815-671-4515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty