Provider Demographics
NPI:1154428449
Name:FOOT AND ANKLE INSTITUTE OF ILLINOIS, LTD.
Entity type:Organization
Organization Name:FOOT AND ANKLE INSTITUTE OF ILLINOIS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:GIOTIS
Authorized Official - Last Name:SARANTOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-924-1450
Mailing Address - Street 1:490 LAKE ST
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3583
Mailing Address - Country:US
Mailing Address - Phone:630-924-1450
Mailing Address - Fax:630-924-1459
Practice Address - Street 1:490 LAKE ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3583
Practice Address - Country:US
Practice Address - Phone:630-924-1450
Practice Address - Fax:630-924-1459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty