Active NPI
Cynthia a Sink DPM Facfas SC
- Primary Podiatric Medicine Podiatrist
- Orland Park, IL
National Provider Identifier
1043389703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 016-004273
- Legal business name
- CYNTHIA A SINK DPM FACFAS SC
- Practice address
- 10760 W 143Rd St
Ste 60
Orland Park, IL 60462-1913 - Phone
- (708) 301-5600
- Fax
- (708) 301-5602
- NPI assigned
- Nov 7, 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
- Cynthia A Sink, DPM FACFAS SC
- Title
- President
- Phone
- (708) 301-5600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 016-004273 | IL | Primary |
Addresses
Primary practice location
10760 W 143Rd St
Ste 60
Orland Park, IL 60462-1913
Mailing address
10760 W 143Rd St
Ste 60
Orland Park, IL 60462-1913
Phone (708) 301-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016-004273 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10760 W 143rd St
Orland Park, IL 60462
10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Orland Park, IL
- NPI 1639168503
-
- Podiatrist
- Orland Park, IL
- NPI 1639602907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1043389703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10760 W 143RD ST",
"address_2": "STE 60",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621913",
"telephone_number": "708-301-5600",
"fax_number": "708-301-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10760 W 143RD ST",
"address_2": "STE 60",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621913",
"telephone_number": "708-301-5600",
"fax_number": "708-301-5602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA A SINK DPM FACFAS SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "SINK",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-301-5600",
"authorized_official_credential": "DPM FACFAS SC"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IL",
"license": "016-004273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "016-004273",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.