Feyintolu M. Balogun, DPM PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FEYINTOLU M. BALOGUN, DPM PLLC

Practice address

1406 S Chestnut Dr
Mount Prospect, IL 60056-4520

Phone

(708) 628-4520

Fax

(773) 847-4467

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Feyintolu M Balogun, DPMNPI 1730567512

Title

President

Phone

(708) 628-4520

Specialties & licenses 1

Addresses

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.

• Feyintolu Morayo Balogun, D.P.M.

  • Podiatrist
  • Mt Prospect, IL
  • NPI 1730567512
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1124610225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S LARAMIE AVE UNIT 50646",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608045147",
            "telephone_number": "708-628-4520",
            "fax_number": "773-847-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S CHESTNUT DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564520",
            "telephone_number": "708-628-4520",
            "fax_number": "773-847-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEYINTOLU M. BALOGUN, DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "FEYINTOLU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-628-4520",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Excellence Safe Home Care LLC
• Family Medicine Specialists of Mount Prospect S C
• Family Wellness Clinic LTD
• Fantastic Smiles LTD.
• Mary Farley, APRN
• William Bartley Finnerty, PHARM.D.
• First Smile HD 3D 4D Ultrasound LLC
• First Surgical Inc.
• Julie Ann Fleckenstein, LCSW
• Laura Kathleen Fortini, M.S., L.C.P.C.

• Podiatrist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.