Organization Active NPI

M & M Foot and Ankle Specialists PLLC

  • Durable Medical Equipment & Medical Supplies
  • Itasca, IL
National Provider Identifier
1083487623
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M & M FOOT AND ANKLE SPECIALISTS PLLC
Practice address
209 N Walnut St
Itasca, IL 60143-1769
Phone
(630) 822-2445
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mansoor AhmedNPI 1821442237
Title
Owner
Phone
(630) 822-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

209 N Walnut St
Itasca, IL 60143-1769

Mailing address

404 Woodside Dr
Wood Dale, IL 60191-2535
Phone (630) 822-2445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1083487623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WOODSIDE DR",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912535",
            "telephone_number": "630-822-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N WALNUT ST",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431769",
            "telephone_number": "630-822-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M FOOT AND ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-822-2445"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Itasca, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.