Organization Active NPI

Foot and Ankle Wellness Center at Seven Bridges PC

  • Foot & Ankle Surgery Podiatrist
  • Woodridge, IL
National Provider Identifier
1043386469
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-003413 Issued in IL
Legal business name
FOOT AND ANKLE WELLNESS CENTER AT SEVEN BRIDGES PC
Practice address
3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone
(630) 852-8522
Fax
(630) 541-2214
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. Leonard E. Vekkos, DPM
Title
Ceo
Phone
(630) 852-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016-003413 IL Primary

Addresses

Primary practice location

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221

Mailing address

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone (630) 852-8522

Other identifiers 1

IdentifierTypeStateIssuer
016003413MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1043386469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-541-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-541-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE WELLNESS CENTER AT SEVEN BRIDGES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "VEKKOS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-852-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003413",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.