Batavia Foot Clinic LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003248 Issued in IL

Legal business name

BATAVIA FOOT CLINIC LTD

Practice address

119 S Batavia Ave
Batavia, IL 60510

Phone

(630) 879-2288

Fax

(630) 879-2347

NPI assigned

Mar 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris Charles Casillas, DPM

Title

Podiatrist Owner

Phone

(630) 879-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1164693180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "630-879-2288",
            "fax_number": "630-879-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "60510",
            "telephone_number": "630-879-2288",
            "fax_number": "630-879-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATAVIA FOOT CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "630-879-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Batavia, IL
• Providers in Batavia, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.