Provider Demographics
NPI:1992119739
Name:ANKLE N FOOT CENTERS LLC
Entity type:Organization
Organization Name:ANKLE N FOOT CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSATSOS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:312-612-5000
Mailing Address - Street 1:225 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5607
Mailing Address - Country:US
Mailing Address - Phone:312-612-5000
Mailing Address - Fax:888-895-7225
Practice Address - Street 1:225 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-5607
Practice Address - Country:US
Practice Address - Phone:312-612-5000
Practice Address - Fax:888-895-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty