Active NPI
Advanced Ankle & Foot Care Center LTD
- Ambulatory Surgical Clinic/Center
- Naperville, IL
National Provider Identifier
1114991387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCED ANKLE & FOOT CARE CENTER LTD
- Practice address
- 720 Brom Drive
Suite 201
Naperville, IL 60540-6054 - Phone
- (630) 478-3338
- Fax
- (630) 355-3016
- NPI assigned
- Feb 15, 2006
- Last updated
- Jul 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence M Kosova
- Title
- President
- Phone
- (630) 478-3338
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Podiatric Clinic/Center | 261QP1100X |
Addresses
Primary practice location
720 Brom Drive
Suite 201
Naperville, IL 60540-6054
Mailing address
PO Box 577577
Chicago, IL 60657-7577
Phone (630) 478-3338
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/23068/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Naperville, IL
- NPI 1649257221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595808000000",
"number": "1114991387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577577",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577577",
"telephone_number": "630-478-3338",
"fax_number": "630-355-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 BROM DRIVE",
"address_2": "SUITE 201",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406054",
"telephone_number": "630-478-3338",
"fax_number": "630-355-3016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ANKLE & FOOT CARE CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A",
"authorized_official_last_name": "KOSOVA",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-478-3338"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
- Advance Care Medical Illinois
- Advance Care Medical PCP Illinois
- Advance Family Dental Care, LTD.
- Advance Rehab Network, Inc.
- Advance Sports Therapy
- Advanced Behavioral Health Services LLC
- Advanced Clinical & Surgical Dermatology
- Advanced Family Dental and Orthodontics, P.C.
- Advanced Health & Physicians
- Advanced Health of Naperville PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.