Carmen Garcia Podiatry, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

316.002904 Issued in IL

Legal business name

CARMEN GARCIA PODIATRY, P.C.

Practice address

1406 S Chestnut Dr
Mount Prospect, IL 60056-4520

Phone

(708) 628-4520

Fax

(773) 847-4467

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Carmen GarciaNPI 1194169557

Title

Owner

Phone

(708) 320-1510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Carmen Garcia

  • Podiatrist
  • Mount Prospect, IL
  • NPI 1194169557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1164900163",
    "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": "708-320-1510",
            "fax_number": "773-844-4467"
        },
        {
            "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": "CARMEN GARCIA PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-320-1510"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "316.002904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 10, 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.