Active NPI
Foot and Ankle Wellness Center at Seven Bridges PC
- Foot & Ankle Surgery Podiatrist
- Woodridge, IL
National Provider Identifier
1043386469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016-003413
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016003413 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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.