Chicago Podiatry Surgicore, LTD.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHICAGO PODIATRY SURGICORE, LTD.

Practice address

1518 E 87TH St
Chicago, IL 60619-6525

Phone

(773) 978-1244

Fax

(773) 978-4606

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Cowan, D.P.M.

Title

President

Phone

(773) 978-1244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1114968542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-1244",
            "fax_number": "773-978-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196525",
            "telephone_number": "773-978-1244",
            "fax_number": "773-978-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PODIATRY SURGICORE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-978-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chicago Pride Center
• Chicago Professional Counseling
• Chicago Prosthetics, Inc

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.