OrganizationActive
Advanced Foot & Ankle Care, Ltd
NPI 1104899871 · Podiatric Clinic/Center · Springfield, IL
Provider details
- NPI number
- 1104899871
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Marla Wilson, President
- License
- 016-004880 (IL)
Practice location
1522 S 5th St
Springfield, IL 62703-2549
Phone: (217) 522-3622
Fax: (217) 522-3046
Mailing address
1522 S 5th St
Springfield, IL 62703-2549
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2011-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.