Provider Demographics
NPI:1467091066
Name:M & M FOOT AND ANKLE SPECIALISTS LLC
Entity type:Organization
Organization Name:M & M FOOT AND ANKLE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANSOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-822-2445
Mailing Address - Street 1:56 RUFFLED FEATHERS DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-7747
Mailing Address - Country:US
Mailing Address - Phone:630-822-2445
Mailing Address - Fax:
Practice Address - Street 1:2385 BOWES RD STE 350
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5501
Practice Address - Country:US
Practice Address - Phone:630-822-2445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty