Professional Foot & Ankle LLC

NPI #1467606152 in Park Forest, Illinois

Provider Information

NPI Number: 1467606152
Entity Type: Organization
Organization Name: Professional Foot & Ankle LLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 8, 2008
Last Updated: May 17, 2025

Practice Location

Address: 231 MAIN ST
City: Park Forest
State: Illinois
ZIP Code: 60466-2097
Phone: (708) 749-3338

Authorized Official

Name: DR. JEROME R RANDALL JR., DPM
Title: MEMBER
Phone: (708) 250-0785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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