Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Lake Foot & Ankle Center LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1649986795

Crystal Lake Foot & Ankle Center LLC is a Foot & Ankle Surgery Podiatrist in Crystal Lake, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39 S Virginia St
Crystal Lake, IL 60014-5826
Phone: (815) 477-9221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1649986795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Potach — Owner · (815) 477-9221
NPI enumeratedJanuary 23, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address39 S Virginia St, Crystal Lake, IL 60014-5826

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