PRAIRIE ROCK FOOT & ANKLE CLINIC LTD
NPI 1437136926
Podiatrist - Foot & Ankle Surgery in Manteno, IL

Active since December 27, 2005
2825 WEST DIVISION STREET, MANTENO, IL 60950(815) 468-7117(815) 468-7510 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Prairie Rock Foot & Ankle Clinic Ltd NPPES

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

PRAIRIE ROCK FOOT & ANKLE CLINIC LTD (NPI 1437136926), doing business as Manteno Foot & Ankle Clinic, is a healthcare organization registered as a foot & ankle surgery in Manteno, Illinois and active in the NPI registry since December 2005. The organization lists Alene D Lesage, Office Manager, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1437136926
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRAIRIE ROCK FOOT & ANKLE CLINIC LTD
Location Address2825 WEST DIVISION STREETManteno, IL 60950-1518
Mailing Address2825 West Division StreetManteno, IL 60950-1518 · (815) 468-7117 · Fax (815) 468-7510
Fax(815) 468-7510
Organization SubpartNo
Authorized OfficialAlene D LesageOffice Manager · (815) 468-7117
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 21, 2022
NPI 1437136926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2825 WEST DIVISION STREET, Manteno, IL 60950

Other Names 1

Former Legal Business NameManteno Foot & Ankle Clinic

Other Identifiers 2

Other203799IL · Medicare Group Number
Other480034698IL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
2825 WEST DIVISION STREET
MANTENO, IL 60950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437136926, enumerated as an "organization" on December 27, 2005.

The provider is located at 2825 WEST DIVISION STREET MANTENO, IL 60950 and the phone number is (815) 468-7117.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.