PERFORMANCE FOOT AND ANKLE CENTER LLC
NPI 1104004290
Podiatrist in Orland Park, IL

Active since January 31, 2008
15300 WEST AVE, SUITE 210, ORLAND PARK, IL 60462(708) 873-9440(708) 873-1862 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Performance Foot And Ankle Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE FOOT AND ANKLE CENTER LLC (NPI 1104004290) is a healthcare organization registered as a podiatrist in Orland Park, Illinois and active in the NPI registry since January 2008. The organization lists Dale S Brink, Owner, as its authorized official.

NPPES Registry Identity

NPI1104004290
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePERFORMANCE FOOT AND ANKLE CENTER LLC
Location Address15300 WEST AVE, SUITE 210Orland Park, IL 60462-4600
Mailing Address401 E 162nd St, Suite 101South Holland, IL 60473-2236 · (708) 596-3757 · Fax (708) 596-3779
Fax(708) 873-1862
Organization SubpartYes
Authorized OfficialDale S BrinkOwner · (708) 596-3757
Enumeration DateJanuary 31, 2008
Last NPPES UpdateJuly 16, 2015
NPI 1104004290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in IL · 016004747
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 5000520001 (IL)
15300 WEST AVE, Orland Park, IL 60462

Other Identifiers 2

Medicare NSC5000520001IL
Medicare PIN207792

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
15300 WEST AVE, WEST BLDG., SUITE 310
ORLAND PARK, IL 60462
Dentist (General Practice)
15300 WEST AVE, SUITE 111
ORLAND PARK, IL 60462
Podiatrist
15300 WEST AVE
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Internal Medicine
15300 WEST AVE, SUITE 303
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Family Medicine
15300 WEST AVE
ORLAND PARK, IL 60462
Internal Medicine (Rheumatology)
15300 WEST AVE, STE. 201
ORLAND PARK, IL 60462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Foot And Ankle Center LLC's NPI number?

The NPI number for Performance Foot And Ankle Center LLC is 1104004290. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Performance Foot And Ankle Center LLC located?

Performance Foot And Ankle Center LLC is located at 15300 West Ave Suite 210, Orland Park, IL 60462. The listed phone number is (708) 873-9440.

What is Performance Foot And Ankle Center LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Performance Foot And Ankle Center LLC was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.