| Organization Name: | ITASCA FOOT AND ANKLE, LTD. |
| NPI Number: | 1912019548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE CATHERINE SCHLUND (PRESIDENT) |
| Mailing Address: | 209 N Walnut St Itasca |
| State: | IL US |
| Postal Code: | 601431730 |
| Phone Number: | 6307732478 |
| Fax Number: | 6307733695 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016 004114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |