Active NPI
Universal Podiatry LLC
- Podiatrist
- Oak Park, IL
National Provider Identifier
1063154565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- UNIVERSAL PODIATRY LLC
- Practice address
- 1515 N Harlem Ave Ste 100
Oak Park, IL 60302-1205 - Phone
- (708) 628-2398
- Fax
- (708) 628-2402
- NPI assigned
- Apr 13, 2022
- Last updated
- Sep 17, 2026
- 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. Darla Thomas, DPM
- Title
- DPM / Owner
- Phone
- (708) 628-2398
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1515 N Harlem Ave Ste 100
Oak Park, IL 60302-1205
Mailing address
1341 W Fullerton Ave Ste 104
Chicago, IL 60614-2362
Phone (708) 628-2398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Oak Park, IL
- NPI 1003363540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1063154565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W FULLERTON AVE STE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142362",
"telephone_number": "708-628-2398",
"fax_number": "708-628-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N HARLEM AVE STE 100",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021205",
"telephone_number": "708-628-2398",
"fax_number": "708-628-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSAL PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-13",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DARLA",
"authorized_official_title_or_position": "DPM / OWNER",
"authorized_official_telephone_number": "708-628-2398",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.