Organization Active NPI

Foot and Ankle Institute of Illinois, LTD.

  • Foot & Ankle Surgery Podiatrist
  • Roselle, IL
National Provider Identifier
1154428449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT AND ANKLE INSTITUTE OF ILLINOIS, LTD.
Practice address
490 Lake St
Suite 105a
Roselle, IL 60172-3583
Phone
(630) 924-1450
Fax
(630) 924-1459
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Christina Giotis Sarantopoulos, DPM
Title
President
Phone
(630) 924-1450

National Provider Directory

National Provider Directory

Locations

490 W Lake St
Roselle, IL 60172
Phone (630) 924-1450

490 W Lake St
Ste 105A
Roselle, IL 60172
Phone (630) 924-1450

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X IL Primary

Addresses

NPPES NPI Registry

Primary practice location

490 Lake St
Suite 105a
Roselle, IL 60172-3583

Mailing address

490 Lake St
Suite 105a
Roselle, IL 60172-3583
Phone (630) 924-1450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154428449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 LAKE ST",
            "address_2": "SUITE 105A",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723583",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 LAKE ST",
            "address_2": "SUITE 105A",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723583",
            "telephone_number": "630-924-1450",
            "fax_number": "630-924-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF ILLINOIS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARANTOPOULOS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "GIOTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-924-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.