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

Professional Foot & Ankle LLC

Organization Podiatrist · NPI 1467606152

Professional Foot & Ankle LLC is a Podiatrist in Park Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

231 Main St
Park Forest, IL 60466-2097
Phone: (708) 749-3338
Fax: (708) 748-4332
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016005113 (IL)

Record details

NPI number1467606152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Randall — Member · (708) 250-0785
NPI enumeratedNovember 8, 2008
Last updated in NPPESMay 17, 2025
Certification dateMay 17, 2025
Mailing addressPo Box 1889, Matteson, IL 60443-4889

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