Organization Active NPI

Franklin Park Medical Center, PC

  • Foot & Ankle Surgery Podiatrist
  • Franklin Park, IL
National Provider Identifier
1225167687
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004370 Issued in IL
Legal business name
FRANKLIN PARK MEDICAL CENTER, PC
Practice address
10009 Grand Ave Ste a
Franklin Park, IL 60131-2573
Phone
(847) 455-1577
Fax
(847) 455-3270
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Todd S. Scott, DPM
Title
Owner
Phone
(847) 455-1577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016004370 IL Primary

Addresses

Primary practice location

10009 Grand Ave Ste a
Franklin Park, IL 60131-2573

Mailing address

10009 Grand Ave Ste a
Franklin Park, IL 60131-2573
Phone (847) 455-1577

Other identifiers 1

IdentifierTypeStateIssuer
0162209OtherILBCBS PROVIDER #

National Provider Directory

National Provider Directory

Locations

845 N Michigan Ave
#994
Chicago, IL 60611
Phone (312) 255-1770

210 Penny Ave
East Dundee, IL 60118
Phone (847) 426-2333

1102 East Ave
Streamwood, IL 60107
Phone (630) 483-0537

Practitioners & affiliated clinicians

Practitioners 1

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": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1225167687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 GRAND AVE STE A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312573",
            "telephone_number": "847-455-1577",
            "fax_number": "847-455-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 GRAND AVE STE A",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312573",
            "telephone_number": "847-455-1577",
            "fax_number": "847-455-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PARK MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-455-1577",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0162209",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

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