Performance Foot and Ankle Center LLC
NPI 1104004290ActiveOrganization· Podiatrist· Orland Park, IL
Podiatrist in Orland Park, Illinois, registered in NPPES in January 2008, part of Performance Foot and Ankle Center LLC. The authorized official on file is Dale S. Brink, DPM, Owner.
Overview
| NPI | 1104004290 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Performance Foot and Ankle Center LLC |
| NPI issued | Jan 31, 2008 |
| Last updated in NPPES | Jul 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 016004747 | IL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5000520001 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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