Libertyville Ankle & Foot Clinic, Inc
NPI 1487630406 · Foot & Ankle Surgery Podiatrist · Libertyville, IL
Libertyville Ankle & Foot Clinic, Inc is a Foot & Ankle Surgery Podiatrist organization in Libertyville, IL (NPI 1487630406).
Provider details
- NPI number
- 1487630406
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Scott Jacobsen, Owner(847) 362-1320
- License
- 016-005031 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2014-07-25
Frequently asked questions
- What is Libertyville Ankle & Foot Clinic, Inc's NPI number?
- Libertyville Ankle & Foot Clinic, Inc's National Provider Identifier (NPI) is 1487630406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Libertyville Ankle & Foot Clinic, Inc?
- Libertyville Ankle & Foot Clinic, Inc is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Libertyville Ankle & Foot Clinic, Inc located?
- Libertyville Ankle & Foot Clinic, Inc's practice location on file with NPPES is 1017 W Park Ave, Libertyville, IL 60048-2502.
- What is Libertyville Ankle & Foot Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Libertyville Ankle & Foot Clinic, Inc is (847) 362-1320.
- Who is the authorized official for Libertyville Ankle & Foot Clinic, Inc?
- The authorized official listed on Libertyville Ankle & Foot Clinic, Inc's NPPES record is Scott Jacobsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Libertyville Ankle & Foot Clinic, Inc's NPI active?
- Yes — Libertyville Ankle & Foot Clinic, Inc's NPI (1487630406) is active in the NPPES registry as of the last update on 2014-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.