George L Enriquez Sr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003880 Issued in IL

Practice address

2101 Waukegan Rd Ste 203
Bannockburn, IL 60015-1836

Phone

(847) 390-7666

Fax

(847) 390-9345

NPI assigned

Nov 30, 2006

Last updated

Dec 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: gle@weil.emadirect.md

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1073680203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WAUKEGAN RD STE 203",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151836",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 W North Ave Ste 610",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606427138",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003880",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003880",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gle@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2101 Waukegan Rd Ste 203",
            "city": "Bannockburn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600151836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gle@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 W North Ave Ste 610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606427138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan A Dote, DPT
• Lisa Dvorak, LPC
• Joanne Eckenhoff, PT
• Robin P Eisenberg, LCSW
• Amy Michelle Eliacin, MSW, LCSW
• Jonathan S Erulkar, M.D.
• Angela M. Fadragas, M.S.W.
• Faithlife Counseling (The Baldwin Center)
• Angela Marie Ferguson, MS, ATC
• Scott Robert Field, MD

• Podiatrist in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.