Central Dupage Foot and Ankle Specialists PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004128 Issued in IL

Legal business name

CENTRAL DUPAGE FOOT AND ANKLE SPECIALISTS PC

Practice address

3825 Highland Ave Ste 306
Downers Grove, IL 60515-1562

Phone

(630) 434-0098

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel L Luetkehans, DPMNPI 1659370062

Title

President

Phone

(630) 434-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Daniel Louis Luetkehans, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Downers Grove, IL
  • NPI 1659370062
  Medicare reassignment Care Compare group NPD Authorized official
• Sanya Lulla, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Lockport, IL
  • NPI 1316470602
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1154522787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 306",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151562",
            "telephone_number": "630-434-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 306",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151562",
            "telephone_number": "630-434-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "LUETKEHANS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-434-0098",
        "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": "016004128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Marie Cebrij, FNP
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• Meghan Cepek
• Grace Cerny, OTD, OTR/L
• Ridha Chakeer, M.D.
• Shobita Chander, PA-C

• Foot & Ankle Surgery Podiatrist in Downers Grove, IL
• Providers in Downers Grove, 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 Feb 26, 2009; 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.