Active NPI
Affiliated Podiatrists of Illinois LTD.
- Podiatrist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-003364
- 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
- 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
- Jacob W Greenspan, D.P.M.
- Title
- Owner
- Phone
- (847) 562-9864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-003364 | IL | Primary |
Addresses
Primary practice location
350 Oak Knoll Ter
Northbrook, IL 60062-1048
Mailing address
PO Box 220
Matteson, IL 60443-0220
Phone (708) 747-5850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002215448 | Other | IL | BLUE SHIELD |
| 016003364 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
11210 95th St
Coal Valley, IL 61240
Phone (309) 799-3161
2021 1st St E
Milan, IL 61264
Phone (309) 756-2257
1140 Lake St
Oak Park, IL 60301
Phone (708) 386-1368
1200 Evenglow Ln
Pontiac, IL 61764
Phone (815) 842-9040
310 W Belmont St
Sparta, IL 62286
Phone (618) 443-4351
1301 N Greenwood St
Spring Valley, IL 61362
Phone (815) 664-4708
301 E Garland St
West Frankfort, IL 62896
Phone (618) 937-2428
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Girard, IL
- NPI 1811405996
-
- Speech-Language Pathologist
- Girard, IL
- NPI 1245672203
-
- Occupational Therapist
- Fruita, CO
- NPI 1508062985
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0002215448",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016003364",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- 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.