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CRYSTAL LAKE FOOT & ANKLE CENTER LLC
NPI 1649986795
Podiatrist - Foot & Ankle Surgery in Crystal Lake, IL

Active since January 23, 2023
39 S VIRGINIA ST, CRYSTAL LAKE, IL 60014(815) 477-9221 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Crystal Lake Foot & Ankle Center Llc NPPES

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

CRYSTAL LAKE FOOT & ANKLE CENTER LLC (NPI 1649986795) is a healthcare organization registered as a foot & ankle surgery in Crystal Lake, Illinois and active in the NPI registry since January 2023. The organization lists Paul Potach, Owner, as its authorized official.

NPPES Registry Identity

NPI1649986795
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameCRYSTAL LAKE FOOT & ANKLE CENTER LLC
Location Address39 S VIRGINIA STCrystal Lake, IL 60014-5826
Mailing Address39 S Virginia StCrystal Lake, IL 60014-5826 · (815) 477-9221
Phone(815) 477-9221
Organization SubpartNo
Authorized OfficialPaul PotachOwner · (815) 477-9221
Enumeration DateJanuary 23, 2023
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1649986795 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
39 S VIRGINIA ST, Crystal Lake, IL 60014
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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 3

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

MR. RONALD JAY LEIB DPM
Podiatrist (Foot & Ankle Surgery)
39 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-9221
NORTHWEST SUBURBAN SURGICAL SERVICES
Clinic/Center (Ambulatory Surgical)
39 S VIRGINIA ST, SUITE 200
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-8911
FOOT FIRST PODIATRY CL PC
Podiatrist (Foot & Ankle Surgery)
39 S VIRGINIA ST
CRYSTAL LAKE, IL 60014
McHenry County (815) 477-9221

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 Crystal Lake Foot & Ankle Center LLC's NPI number?

The NPI number for Crystal Lake Foot & Ankle Center LLC is 1649986795. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Crystal Lake Foot & Ankle Center LLC located?

Crystal Lake Foot & Ankle Center LLC is located at 39 S Virginia St, Crystal Lake, IL 60014. The listed phone number is (815) 477-9221.

What is Crystal Lake Foot & Ankle Center LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Foot & Ankle Center LLC was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.