Spaccapaniccia Podiatry LTD PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-003407 Issued in IL

Legal business name

SPACCAPANICCIA PODIATRY LTD PC

Practice address

2340 S Highland Ave Ste 100
Lombard, IL 60148-7131

Phone

(630) 495-3338

Fax

(630) 495-3350

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Christopher CklamovskiNPI 1528563483

Title

Owner

Phone

(630) 495-3338

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Christopher Cklamovski, DPM, MPH

  • Foot & Ankle Surgery Podiatrist
  • Lombard, IL
  • NPI 1528563483
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Spaccapaniccia, D.P.M.

  • Podiatrist
  • Lombard, IL
  • NPI 1003994112
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1215067806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487131",
            "telephone_number": "630-495-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487131",
            "telephone_number": "630-495-3338",
            "fax_number": "630-495-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACCAPANICCIA PODIATRY LTD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "CKLAMOVSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-495-3338"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060015180",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8416",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0060015182",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1",
            "affiliation": "N",
            "address_1": "675 W North Ave Ste 606",
            "city": "Melrose Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601601627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "1",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "1",
            "address_1": "675 W North Ave Ste 606",
            "city": "Melrose Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601601627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.