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

Libertyville Ankle & Foot Clinic, Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1487630406

Libertyville Ankle & Foot Clinic, Inc is a Foot & Ankle Surgery Podiatrist in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1017 W Park Ave Ste A
Libertyville, IL 60048-2502
Phone: (847) 362-1320
Fax: (847) 362-1823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016-005031 (IL)

Record details

NPI number1487630406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Jacobsen — Owner · (847) 362-1320
NPI enumeratedDecember 21, 2005
Last updated in NPPESJuly 25, 2014
Mailing address1017 W Park Ave, Suite A, Libertyville, IL 60048-2502

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