Active NPI
Jeffrey Howard Duchon, DPM
- Podiatrist
- Chicago, IL
National Provider Identifier
1205928405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 2052 W Chicago Ave
Chicago, IL 60622-5191 - Phone
- (773) 489-0565
- Fax
- (773) 489-0575
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
2052 W Chicago Ave
Chicago, IL 60622-5191
Mailing address
2052 W Chicago Ave
Chicago, IL 60622-5191
Phone (773) 489-0565
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 |
|---|---|---|---|
| 016-004079 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205928405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225191",
"telephone_number": "773-489-0565",
"fax_number": "773-489-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2052 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606225191",
"telephone_number": "773-489-0565",
"fax_number": "773-489-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHON",
"first_name": "JEFFREY",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.