Active NPI
Jeffrey Charles Walters, DPM
- Podiatrist
- Northbrook, IL
National Provider Identifier
1174567275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 425 Huehl Rd
#13 Preferred Podiatry Group PC
Northbrook, IL 60062-2319 - Phone
- (847) 504-5000
- Fax
- (847) 504-5015
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | IL | Primary |
Addresses
Primary practice location
425 Huehl Rd
#13 Preferred Podiatry Group PC
Northbrook, IL 60062-2319
Mailing address
425 Huehl Rd
#13 Preferred Podiatry Group PC
Northbrook, IL 60062-2319
Phone (847) 504-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-002908 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Oak Harbor, WA
- NPI 1720037138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174567275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 HUEHL RD",
"address_2": "#13 PREFERRED PODIATRY GROUP PC",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622319",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HUEHL RD",
"address_2": "#13 PREFERRED PODIATRY GROUP PC",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622319",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JEFFREY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.