Organization Active NPI

Podiatric Management Systems LLC

  • Podiatrist
  • Wheaton, IL
National Provider Identifier
1003422783
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRIC MANAGEMENT SYSTEMS LLC
Practice address
1275 Butterfield Rd Ste 110
Wheaton, IL 60189-8849
Phone
(630) 682-3338
Fax
(630) 682-5836
NPI assigned
Sep 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
David Anthony Charnota
Title
President
Phone
(847) 540-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1275 Butterfield Rd Ste 110
Wheaton, IL 60189-8849

Mailing address

70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160

Other names 1

  • Hettinger Podiatry Center Doing business as

National Provider Directory

National Provider Directory

Locations

1275 Butterfield Rd
#10
Wheaton, IL 60189

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1003422783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017499",
            "telephone_number": "312-372-1160",
            "fax_number": "312-372-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD STE 110",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898849",
            "telephone_number": "630-682-3338",
            "fax_number": "630-682-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "CHARNOTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-540-9949"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hettinger Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hettinger Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.