Podiatry of Chicago 1, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

PODIATRY OF CHICAGO 1, P.C.

Practice address

6560 W Higgins Ave
Chicago, IL 60656-2161

Phone

(847) 775-0300

Fax

(847) 775-0883

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Nicole Wundsam

Title

Practice Administrator

Phone

(847) 255-5004

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalie Nicole Domek, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1922360577
  Medicare reassignment Care Compare group NPD
• Kelsey L Krotiak, DPM

  • Podiatrist
  • Rockford, IL
  • NPI 1568085710
  Medicare reassignment Care Compare group NPD
• Kristin Marie Truncale, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1306236310
  Medicare reassignment Care Compare group NPD
• Samantha Dolph Winerman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
  • NPI 1265877849
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1013552074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N VICTORIA DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600744193",
            "telephone_number": "847-255-5004",
            "fax_number": "847-255-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562161",
            "telephone_number": "847-775-0300",
            "fax_number": "847-775-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY OF CHICAGO 1, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "WUNDSAM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-255-5004"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drdomek@podiatryofarlingtonheights.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6560 W Higgins Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606562161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Podiatric Management Systems LLC
• Podiatric Management Systems LLC
• Podiatric Wound Care Chicago LLC
• Podiatry Center, SC
• Podiatry in Motion, Inc.
• Podiatry of Illinois, PC
• Podiatry Plus LTD
• Podiatry Plus, PC
• Podiatry Providers LLC
• Tomasz Podobinski, DO

• 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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.