Individual provider Active NPI

Elizabeth A Unanue, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1023308897
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005442 Issued in IL
Practice address
2231 E 95TH St
Chicago, IL 60617-4804
Phone
(773) 768-7700
Fax
(773) 273-8915
NPI assigned
Apr 14, 2011
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005442 IL Primary

Addresses

Primary practice location

2231 E 95TH St
Chicago, IL 60617-4804

Mailing address

2231 E 95TH St
Chicago, IL 60617-4804
Phone (773) 768-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000096 IL Practitioner - Podiatry 9931370848 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center South Chicago, LLC CurrentSince Nov 28, 2022 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Nov 28, 2022 Accepting new patients
Illinois Institute of Foot and Ankle, P.C. Foot & Ankle Surgery CurrentSince May 1, 2015 Accepting new patients
Mobile Foot Doctors, Inc, Foot & Ankle Surgery CurrentSince Jun 15, 2012 Accepting new patients
Northwest Indiana Podiatry Clinic, LLC Foot & Ankle Surgery Past Accepting new patients
The Institute of Foot & Ankle Reconstructive Surgery, LLC Foot & Ankle Surgery PastSince Sep 1, 2007 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1229 N North Branch St
Ste 308
Chicago, IL 60642
Phone (847) 231-2517

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

4215 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (847) 231-2517

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1023308897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-768-7700",
            "fax_number": "773-273-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174804",
            "telephone_number": "773-768-7700",
            "fax_number": "773-273-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNANUE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.