Organization Name: | ROBERT S. KIPFERL, DPM S.C. |
NPI Number: | 1982886214 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT S. KIPFERL (PODIATRIST/FOOT & ANKLE SURGEON) |
Mailing Address: | 912 Northwest Hwy Suite G6 Fox River Grove |
State: | IL US |
Postal Code: | 600211925 |
Phone Number: | 8476392525 |
Fax Number: | 8476392522 |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 11/28/2007 |
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: |