Chicago Foot & Orthopedic Clinic, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHICAGO FOOT & ORTHOPEDIC CLINIC, LTD

Practice address

3918 W 63Rd St
Chicago, IL 60629-4604

Phone

(773) 284-9660

Fax

(773) 284-9676

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Amin Mashouf

Title

Manager

Phone

(773) 284-9660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1245578715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11232",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606110232",
            "telephone_number": "773-284-9660",
            "fax_number": "773-284-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294604",
            "telephone_number": "773-284-9660",
            "fax_number": "773-284-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FOOT & ORTHOPEDIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MASHOUF",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-284-9660"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Family Wellness, SC
• Chicago First Chinese Acupuncture & Medical Center
• Chicago Foot & Ankle Clinic
• Chicago Foot & Ankle Deformity Correction Center, LLC
• Chicago Foot & Orthopedic Clinic
• Chicago Foot and Ankle PC
• Chicago Foot and Ankle Surgicare, PC
• Chicago Foot Clinic, LTD
• Chicago Foot Health Centers, LLC
• Chicago Functional Neurology Group, LTD.

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.