Provider Demographics
NPI:1346057841
Name:1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
Entity type:Organization
Organization Name:1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAIRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-934-0768
Mailing Address - Street 1:1660 FEEHANVILLE DR STE 450
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-6023
Mailing Address - Country:US
Mailing Address - Phone:847-390-7666
Mailing Address - Fax:224-220-9345
Practice Address - Street 1:109 WIMBLEDON SQ STE F
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4945
Practice Address - Country:US
Practice Address - Phone:757-698-4177
Practice Address - Fax:757-698-4176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies