PROFESSIONAL FOOT & ANKLE LLC
NPI 1467606152
Podiatrist in Park Forest, IL

Q: What is Professional Foot & Ankle LLC's NPI number?

The NPI number for Professional Foot & Ankle LLC is 1467606152. It was assigned to this organization in the NPPES registry on November 8, 2008.

Q: What is Professional Foot & Ankle LLC's specialty?

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

Active since November 08, 2008

231 MAIN ST, PARK FOREST, IL 60466(708) 749-3338(708) 748-4332 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2025, Jul 22, 2024, Mar 28, 2021 (3 updates tracked since 2021).

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About Professional Foot & Ankle Llc NPPES

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

PROFESSIONAL FOOT & ANKLE LLC (NPI 1467606152) is a healthcare organization registered as a podiatrist in Park Forest, Illinois and active in the NPI registry since November 2008. The organization lists Jerome R Randall, Member, as its authorized official.

NPPES Registry Identity

NPI1467606152

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NamePROFESSIONAL FOOT & ANKLE LLC

Location Address231 MAIN STPark Forest, IL 60466-2097

Mailing AddressPo Box 1889Matteson, IL 60443-4889 · (708) 250-0785 · Fax (708) 898-2326

Phone(708) 749-3338

Fax(708) 748-4332

Organization SubpartNo

Authorized OfficialJerome R RandallMember · (708) 250-0785

Enumeration DateNovember 8, 2008

Last NPPES UpdateMay 17, 20253 updates tracked since enumeration

NPPES CertifiedMay 17, 2025

✔ NPI 1467606152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in IL · 016005113

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.

231 MAIN ST, Park Forest, IL 60466

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Other Identifiers 1

Other4632153IL · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES 6

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

DR NANCY LEE

Durable Medical Equipment & Medical Supplies