| Organization Name: | ASSOCIATED FOOT SURGEONS OF JOLIET LTD |
| NPI Number: | 1528205168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY EASLEY (OWNER) |
| Mailing Address: | 2204 Weber Road Crest Hill |
| State: | IL US |
| Postal Code: | 60403 |
| Phone Number: | 8157255211 |
| Fax Number: | 8157254816 |
| NPI Enumeration Date: | 01/20/2009 |
| NPI Last Update Date: | 01/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 016-003985 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |