| Elmhurst Foot & Ankle Center Inc | |
|
183 W 1st St Elmhurst IL 60126-2815 | |
| (630) 530-3338 | |
| Not Available |
| Full Name | Elmhurst Foot & Ankle Center Inc |
|---|---|
| Speciality | Podiatrist |
| Location | 183 W 1st St, Elmhurst, Illinois |
| Authorized Official Name and Position | Deep N Shah (CO-OWNER) |
| Authorized Official Contact | 5183307689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmhurst Foot & Ankle Center Inc 183 W 1st St Elmhurst IL 60126-2815 Ph: (630) 530-3338 | Elmhurst Foot & Ankle Center Inc 183 W 1st St Elmhurst IL 60126-2815 Ph: (630) 530-3338 |
| NPI Number | 1598508186 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 7315488228 |
|---|---|
| Medicare Enrollment ID | O20240919000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598508186 | NPI | - | NPPES |
| Provider Name | Deep N Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164985883 PECOS PAC ID: 5395128417 Enrollment ID: I20220822002880 |
| Provider Name | Vsevolod Markovich Grinberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881255917 PECOS PAC ID: 7810320256 Enrollment ID: I20240817000175 |
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