Asg Onsite Podiatry of in 1 PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ASG ONSITE PODIATRY OF IN 1 PC

Practice address

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728

Phone

(773) 770-0140

Fax

(312) 277-6757

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

Yev Gray, DPM

Title

Owner

Phone

(773) 770-0140

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": "1013251172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASG ONSITE PODIATRY OF IN 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• 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.