| Organization Name: | ALPINE FOOT SPECIALISTS PC |
| NPI Number: | 1588836134 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID A CHARNOTA (OWNER/PRESIDENT) |
| Mailing Address: | 765 Ela Road Suite 100 Lake Zurich |
| State: | IL US |
| Postal Code: | 600472339 |
| Phone Number: | 8475409949 |
| Fax Number: | 8475409971 |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 016003264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |