Kane Podiatry Associates, S.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005082 Issued in IL

Legal business name

KANE PODIATRY ASSOCIATES, S.C.

Practice address

2172 Blackberry Dr
Suite 112
Geneva, IL 60134-1102

Phone

(630) 232-9000

Fax

(630) 232-9025

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John J Mytych, D.P.M.

Title

President

Phone

(630) 232-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1144552597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "SUITE 112",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341102",
            "telephone_number": "630-232-9000",
            "fax_number": "630-232-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR",
            "address_2": "SUITE 112",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341102",
            "telephone_number": "630-232-9000",
            "fax_number": "630-232-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE PODIATRY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MYTYCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-232-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Clark Kallstrom, D.D.S.
• Michael Todd Kaminski, D.C.
• Kane Anesthesia Associates, SC
• Kane Cardiac Diagnostics, LLC
• Kane Cardiology S.C.
• Victor Kapoor, M.D.
• Tiffany A. Karas, MD
• Kunal N Karmali, M.D.
• Dillon Benjamin Karst, MD
• Rebecca Lynn Kasa, DO

• Foot & Ankle Surgery Podiatrist in Geneva, IL
• Providers in Geneva, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.