Alpine Foot Specialists, P.C.
Organization Active NPI Foot & Ankle Surgery Podiatrist · Lake Zurich, IL
NPI 1720728876 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1720728876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- ALPINE FOOT SPECIALISTS, P.C.
- Practice address
- 765 Ela Rd Ste 100
Lake Zurich, IL 60047-2339 - Phone
- (847) 540-9949
- Fax
- (847) 540-9971
- NPI assigned
- Mar 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Anna Gurrera, DPM
- Title
- President
- Phone
- (847) 540-9949
Practitioners 2
-
Jehanzab A Siddiqui, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220810003479 | IL | DME Supplier - Physician - Podiatry |
5799168670 | Practice locations: Lake Zurich, IL |
| O20230815001809 | IL | Part B Supplier - Clinic/Group Practice | 5799168670 |
Receives reassigned benefits from 2 practitioners Practice locations: Lake Zurich, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
765 Ela Rd Ste 100
Lake Zurich, IL 60047-2339
Mailing address
765 Ela Rd Ste 100
Lake Zurich, IL 60047-2339
Phone (847) 540-9949
Other providers in Lake Zurich, IL
- All Care Medical Supply Inc
- All in Good Hands, Inc.
- Allz Family Practice Physicians, SC
- Alpha Bedding LLC
- Alpine Foot Specialist PC
- Alpine Spine & Rehabilitation Group
- Alternative Health Associates, LTD.
- Amedisys Illinois. L.L.C.
- American Drug Stores LLC
- American Drug Stores LLC
All providers in Lake Zurich, IL · Foot & Ankle Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.