Evanston Foot & Ankle Clinic

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004439 Issued in IL

Legal business name

EVANSTON FOOT & ANKLE CLINIC

Practice address

800 Austin St
Suite #611
Evanston, IL 60202-3439

Phone

(847) 864-5010

Fax

(847) 864-9632

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin John Tunnat, D.P.M.NPI 1205885274

Title

Owner

Phone

(847) 328-2282

Specialties & licenses 1

Addresses

Other names 1

• Dr Kevin Tunnat DPM Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Kevin John Tunnat, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
  • NPI 1205885274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1235396888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE #611",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-864-5010",
            "fax_number": "847-864-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE #611",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-864-5010",
            "fax_number": "847-864-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "TUNNAT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-328-2282",
        "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": "016004439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Kevin Tunnat DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evanston Counseling, PLLC
• Evanston Dental Associates LTD.
• Evanston Dental PLLC
• Evanston Eye Wellness Inc.
• Evanston Family Chiropractic and Wellness Center, S.C.
• Evanston Hospital Dental Center
• Evanston Integrative Chiropractic Center
• Evanston Northwestern Hospital
• Evanston Nursing & Rehab Center, LLC
• Evanston Nursing & Rehab Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.