Organization Active NPI

Fox River Foot & Ankle Center PC

  • Durable Medical Equipment & Medical Supplies
  • Oswego, IL
National Provider Identifier
1104943786
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
016004700 Issued in IL
Legal business name
FOX RIVER FOOT & ANKLE CENTER PC
Practice address
3963 US Highway 34
Oswego, IL 60543-8950
Phone
(630) 551-3338
Fax
(949) 862-3678
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Mr. Howard C Fox, D.P.M.NPI 1326031873
Title
President
Phone
(815) 634-2324

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X
Durable Medical Equipment & Medical Supplies 332B00000X 016004700 IL Primary

Addresses

Primary practice location

3963 US Highway 34
Oswego, IL 60543-8950

Mailing address

810 E Division St
Coal City, IL 60416-1338
Phone (815) 634-2324

Other practice location 1

810 E Division St
Coal City, IL 60416-1338
Phone (815) 634-2324

Other identifiers 1

IdentifierTypeStateIssuer
K04515OtherILMEDICARE MEMBER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040427001401 IL Part B Supplier - Clinic/Group Practice 3779570296 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Aurora, IL; Channahon, IL; Coal City, IL; Morris, IL; Oswego, IL; Sandwich, IL
O20100930042867 IL DME Supplier - Physician - Podiatry 3779570296 Practice locations: Coal City, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fox River Foot Ankle Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

27754 Blue Grass Dr
Channahon, IL 60410
Phone (815) 521-9347

25520 S Pheasant Ln
Unit C
Channahon, IL 60410
Phone (815) 521-9347

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1104943786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E DIVISION ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161338",
            "telephone_number": "815-634-2324",
            "fax_number": "815-634-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 US HIGHWAY 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438950",
            "telephone_number": "630-551-3338",
            "fax_number": "949-862-3678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E Division St",
            "address_purpose": "LOCATION",
            "city": "Coal City",
            "state": "IL",
            "postal_code": "604161338",
            "country_code": "US",
            "telephone_number": "815-634-2324",
            "fax_number": "815-634-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOX RIVER FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-634-2324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "016004700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER #",
            "identifier": "K04515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.

Verify at the official NPI Registry.