| Organization Name: | FAMILY FOOT AND ANKLE CARE, P.C. |
| NPI Number: | 1104941574 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY E. DORAN (PRESIDENT) |
| Mailing Address: | 550 E Boughton Rd Ste 195 Bolingbrook |
| State: | IL US |
| Postal Code: | 604402194 |
| Phone Number: | 6307396610 |
| Fax Number: | 6304102482 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |