| Organization Name: | FOOT & ANKLE CENTER, LLC |
| NPI Number: | 1255344941 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LOUIS AQUINO (PRESIDENT) |
| Mailing Address: | 101 N Walnut St Pinckneyville |
| State: | IL US |
| Postal Code: | 622741034 |
| Phone Number: | 6183572187 |
| Fax Number: | 6183573165 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 11/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016005263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |