Active NPI
Podiatric Management Systems LLC
- Podiatrist
- Chicago, IL
National Provider Identifier
1114533700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PODIATRIC MANAGEMENT SYSTEMS LLC
- Practice address
- 537 W 31St St
Chicago, IL 60616-3294 - Phone
- (312) 842-2230
- Fax
- (312) 842-9737
- NPI assigned
- Sep 18, 2020
- 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
- David Anthony Charnota, DPM
- Title
- President
- Phone
- (847) 540-9949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
537 W 31St St
Chicago, IL 60616-3294
Mailing address
70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160
Other names 1
- Bridgeport Footcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1114533700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E LAKE ST STE 1102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017499",
"telephone_number": "312-372-1160",
"fax_number": "312-372-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W 31ST ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163294",
"telephone_number": "312-842-2230",
"fax_number": "312-842-9737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "CHARNOTA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-540-9949",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridgeport Footcare",
"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 Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.