Petrina Chino, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI 1003661687 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1003661687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 135.001223 (IL)
- Practice address
- 1950 W Polk St
Chicago, IL 60612-3723 - Phone
- (312) 864-2245
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217003390 | IL | Order and Referring Only - Podiatry |
8628505591 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135.001223 | IL | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- pchino377154@direct.myadvocateaurora.org
- pchino177144@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 135.001223 | IL | Yes |
Addresses
Primary practice location
1950 W Polk St
Chicago, IL 60612-3723
Mailing address
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.