| Professional Foot & Ankle Llc | |
|
20303 Crawford Ave, Suite 210, Olympia Fields, IL 60461-1041 | |
| (708) 898-2380 | |
| (708) 898-2326 |
| Full Name | Professional Foot & Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 20303 Crawford Ave, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467606152 | NPI | - | NPPES |
| 4632153 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016005113 (Illinois) | Primary |
| Provider Name | Jerome R Randall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376689257 PECOS PAC ID: 1759281868 Enrollment ID: I20040113000440 |
| Provider Name | Haytham Mansour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811078207 PECOS PAC ID: 6204902489 Enrollment ID: I20080912000157 |
| Provider Name | Ramin Ghazizadeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649652140 PECOS PAC ID: 2567771363 Enrollment ID: I20180503000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Foot & Ankle Llc Po Box 1889, Matteson, IL 60443-4889 Ph: (708) 250-0785 | Professional Foot & Ankle Llc 20303 Crawford Ave, Suite 210, Olympia Fields, IL 60461-1041 Ph: (708) 898-2380 |
Chicago Suburban Foot Speciallists Podiatrist Medicare: Medicare Enrolled Practice Location: 2601 Lincoln Hwy, 102, Olympia Fields, IL 60461 Phone: 708-747-8994 Fax: 708-747-0170 | |
My Limb Dr Podiatrist Medicare: Medicare Enrolled Practice Location: 3302 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-864-2006 | |
In Step Ltd Podiatrist Medicare: Medicare Enrolled Practice Location: 19900 Governors Dr Ste 102, Olympia Fields, IL 60461 Phone: 708-957-3338 | |
Dr. Frank Louis Narcisi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave Ste 1400, Olympia Fields, IL 60461 Phone: 708-679-2310 | |
Dr. Warren Ian Hastings, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2601 Lincoln Hwy, 102, Olympia Fields, IL 60461 Phone: 708-747-8994 Fax: 708-747-0170 | |
Dr. Jerome R Randall Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19900 Governors Dr, #12, Olympia Fields, IL 60461 Phone: 708-898-2380 Fax: 708-898-2326 |