Organization Active NPI

Vittori Foot & Ankle Specialist Inc

  • Podiatrist
  • Homer Glen, IL
National Provider Identifier
1184830697
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005195 Issued in IL
Legal business name
VITTORI FOOT & ANKLE SPECIALIST INC
Practice address
15772 S Bell Rd
Homer Glen, IL 60491-8400
Phone
(708) 301-4443
Fax
(708) 301-4413
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dr. Christopher Michael Vittori, D.P.M.NPI 1922040351
Title
President
Phone
(773) 562-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016005195 IL Primary

Addresses

Primary practice location

15772 S Bell Rd
Homer Glen, IL 60491-8400

Mailing address

15772 S Bell Rd
Homer Glen, IL 60491-8400
Phone (708) 301-4443

Other identifiers 1

IdentifierTypeStateIssuer
DG0520OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070619000401 IL Part B Supplier - Clinic/Group Practice 3971602848 Receives reassigned benefits from 2 practitioners
Practice locations: Homer Glen, IL
O20100930005584 IL DME Supplier - Physician - Podiatry 3971602848 Practice locations: Homer Glen, IL

National Provider Directory

National Provider Directory

Locations

15772 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-4443

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1184830697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15772 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918400",
            "telephone_number": "708-301-4443",
            "fax_number": "708-301-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15772 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918400",
            "telephone_number": "708-301-4443",
            "fax_number": "708-301-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITTORI FOOT & ANKLE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "VITTORI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-562-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.