NPIMap

Organization Active NPI

Joliet Foot Care Center, PC

  • Ambulatory Surgical Clinic/Center
  • Joliet, IL
National Provider Identifier
1174872717
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JOLIET FOOT CARE CENTER, PC
Practice address
1100 Essington Rd
Suite 2
Joliet, IL 60435-8428
Phone
(815) 730-5200
Fax
(815) 730-8360
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Steven B Overpeck, DPM
Title
Owner
Phone
(815) 730-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1100 Essington Rd
Suite 2
Joliet, IL 60435-8428

Mailing address

1100 Essington Rd
Suite 2
Joliet, IL 60435-8428
Phone (815) 730-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1174872717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ESSINGTON RD",
            "address_2": "SUITE 2",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358428",
            "telephone_number": "815-730-5200",
            "fax_number": "815-730-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ESSINGTON RD",
            "address_2": "SUITE 2",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358428",
            "telephone_number": "815-730-5200",
            "fax_number": "815-730-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIET FOOT CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "OVERPECK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-730-8200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.