The Foot and Ankle Wellness Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

316.001386 Issued in IL

Legal business name

THE FOOT AND ANKLE WELLNESS CENTER, LLC

Practice address

4440 Lincoln Hwy
Suite 102
Matteson, IL 60443-2349

Phone

(708) 481-3338

Fax

(708) 481-8643

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Terri' L Foster, D.P.M.

Title

Podiatrist

Phone

(708) 481-3338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1194094607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432349",
            "telephone_number": "708-481-3338",
            "fax_number": "708-481-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 LINCOLN HWY",
            "address_2": "SUITE 102",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432349",
            "telephone_number": "708-481-3338",
            "fax_number": "708-481-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT AND ANKLE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TERRI'",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "708-481-3338",
        "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": "316.001386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heredeshee Latrice Taylor, FNP
• Sheri Temple
• Terri L Foster
• Marquetta Terry, M.S.
• The Dubois Douglas Centres
• Judith A Themer, PSYD
• Therapy Over Easy PLLC
• Therapy Works
• Etheldrich Leatha Thomas-Olloway
• Lasheene Thompson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.