Chicago Foot Clinic, LTD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CHICAGO FOOT CLINIC, LTD

Practice address

2801 W Cermak Rd
Chicago, IL 60623-3513

Phone

(773) 376-7200

Fax

(773) 376-9211

NPI assigned

Nov 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shanin Moshiri, DPM

Title

Ceo

Phone

(773) 376-7200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1003150178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233513",
            "telephone_number": "773-376-7200",
            "fax_number": "773-376-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233513",
            "telephone_number": "773-376-7200",
            "fax_number": "773-376-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FOOT CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MOSHIRI",
        "authorized_official_first_name": "SHANIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-376-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chicago Foot Health Centers, LLC
• Chicago Functional Neurology Group, LTD.
• Chicago Functional Psychiatry
• Chicago Gastro LLC
• Chicago Gastroenterology, LLC

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.