Organization Active NPI

Foot & Ankle Health Care Center LTD

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1063647253
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004982 Issued in IL
Legal business name
FOOT & ANKLE HEALTH CARE CENTER LTD
Practice address
4000 S Western Ave
Chicago, IL 60609-2265
Phone
(773) 376-3100
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Dr. Galina Podolskiy, D.P.M.
Title
D.P.M.
Phone
(773) 205-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016004982 IL Primary

Addresses

Primary practice location

4000 S Western Ave
Chicago, IL 60609-2265

Mailing address

5501 W Belmont Ave
Chicago, IL 60641-4130

Other names 1

  • European Foot & Ankle Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
European Foot Ankle Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1063647253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092265",
            "telephone_number": "773-376-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE HEALTH CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PODOLSKIY",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "773-205-0106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "European Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.