Affiliated Podiatrists of Illinois LTD.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-003364 Issued in IL

Legal business name

AFFILIATED PODIATRISTS OF ILLINOIS LTD.

Practice address

350 Oak Knoll Ter
Northbrook, IL 60062-1048

Phone

(847) 562-9864

Fax

(847) 562-9865

NPI assigned

Dec 27, 2006

Last updated

Nov 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob W Greenspan, D.P.M.NPI 1194725523

Title

Owner

Phone

(847) 562-9864

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jacob W Greenspan, D.P.M.

  • Podiatrist
  • Northbrook, IL
  • NPI 1194725523
  Authorized official Same address or phone
• Karlee Bruenger, MS. CCC-SLP

  • Speech-Language Pathologist
  • Girard, IL
  • NPI 1811405996
  NPD (past)
• Sara Elizabeth Surratt, MS, CFY-SLP

  • Speech-Language Pathologist
  • Girard, IL
  • NPI 1245672203
  NPD (past)
• Brienne Nicole Rogers, OTR/L, CLT

  • Occupational Therapist
  • Fruita, CO
  • NPI 1508062985
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1104981422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430220",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OAK KNOLL TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621048",
            "telephone_number": "847-562-9864",
            "fax_number": "847-562-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PODIATRISTS OF ILLINOIS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-562-9864",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.