| Organization Name: | FOOT AND ANKLE INSTITUTE OF ILLINOIS, LTD. |
| NPI Number: | 1154428449 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA GIOTIS SARANTOPOULOS (PRESIDENT) |
| Mailing Address: | 490 Lake St Suite 105a Roselle |
| State: | IL US |
| Postal Code: | 601723583 |
| Phone Number: | 6309241450 |
| Fax Number: | 6309241459 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |