| Organization Name: | FOOT AND ANKLE WELLNESS CENTER AT SEVEN BRIDGES PC |
| NPI Number: | 1043386469 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD E. VEKKOS (CEO) |
| Mailing Address: | 3540 Seven Bridges Dr Suite 290 Woodridge |
| State: | IL US |
| Postal Code: | 605171221 |
| Phone Number: | 6308528522 |
| Fax Number: | 6305412214 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 09/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016-003413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |