LIBERTYVILLE ANKLE & FOOT CLINIC, INC – Foot & Ankle Surgery Podiatrist, NPI 1487630406

LIBERTYVILLE ANKLE & FOOT CLINIC, INC is a healthcare provider. based in Libertyville, Illinois. specializing in Foot & Ankle Surgery Podiatrist. The organization holds a License No. 016-005031 (IL). The NPI Number for LIBERTYVILLE ANKLE & FOOT CLINIC, INC is 1487630406

Main info

Organization
Name
LIBERTYVILLE ANKLE & FOOT CLINIC, INC
NPI
1487630406
Phone
(847) 362-1320
Address
1017 W PARK AVE
Authorized Official
SCOTT A JACOBSEN OWNER DPM
Enumeration Date
21 December 2005
Last Update Date
25 July 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LIBERTYVILLE ANKLE & FOOT CLINIC, INC

  • 1017, West Park Avenue, Libertyville, Lake County, Illinois, 60048, United States

    SUITE A

    LIBERTYVILLE, IL 600482502

    Phone: (847) 362-1320

    Fax: (847) 362-1823

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60048)

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Reviews

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Frequently asked questions

What federal number belongs to LIBERTYVILLE ANKLE & FOOT CLINIC, INC?
The federal identifier for LIBERTYVILLE ANKLE & FOOT CLINIC, INC is NPI 1487630406.
Is LIBERTYVILLE ANKLE & FOOT CLINIC, INC's NPI currently valid?
The extract we use shows LIBERTYVILLE ANKLE & FOOT CLINIC, INC as active.
What kind of provider is LIBERTYVILLE ANKLE & FOOT CLINIC, INC?
The page reflects Foot & Ankle Surgery Podiatrist for LIBERTYVILLE ANKLE & FOOT CLINIC, INC. Clinical services aligned with this taxonomy classification.
Where does public data place LIBERTYVILLE ANKLE & FOOT CLINIC, INC?
The snapshot lists Libertyville, Illinois for LIBERTYVILLE ANKLE & FOOT CLINIC, INC; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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