Organization Active NPI

Peter J Chiaculas DPM PC

  • Podiatrist
  • Elmhurst, IL
National Provider Identifier
1205037751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PETER J CHIACULAS DPM PC
Practice address
129 E Vallette Street
Elmhurst, IL 60126-4477
Phone
(847) 581-9762
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Peter J Chiaculas, DPM
Title
President
Phone
(847) 581-9762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

129 E Vallette Street
Elmhurst, IL 60126-4477

Mailing address

129 E Vallette Street
Elmhurst, IL 60126-4477
Phone (847) 581-9762

National Provider Directory

National Provider Directory

Locations

129 E Vallette St
Elmhurst, IL 60126
Phone (630) 834-0638

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205037751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E VALLETTE STREET",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264477",
            "telephone_number": "847-581-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E VALLETTE STREET",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264477",
            "telephone_number": "847-581-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J CHIACULAS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIACULAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-581-9762",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.