In Balance Podiatry, LTD.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003538 Issued in IL

Legal business name

IN BALANCE PODIATRY, LTD.

Practice address

132 N Catherine Ave
La Grange, IL 60525-1828

Phone

(708) 352-5121

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark John Sedory, D. P. M.NPI 1255389805

Title

President

Phone

(708) 352-5121

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Mark John Sedory, D.P.M.

  • Podiatrist
  • La Grange, IL
  • NPI 1255389805
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1124054325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605258482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 N CATHERINE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605251828",
            "telephone_number": "708-352-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE PODIATRY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "SEDORY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-352-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. P. M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003538",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natali Huerta, SLP
• Chloe Elizabeth Hunt, RBT
• Daniel Hunter Smith, MD
• Grace Hurley, OTR/L
• Robert Husfield, M.D
• Infinity Healthcare Staffing, LLC
• Integrative Family Health Associates
• Rachel Ivanovic, BCBA, LBA
• Agnieszka Iwaszczyszyn, DMD
• Arun Jacob, MD

• Podiatrist in La Grange, IL
• Providers in La Grange, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.