Active NPI
Cayetano Puzon, DPM
- Primary Podiatric Medicine Podiatrist
- Chicago, IL
National Provider Identifier
1265651905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 016004484
- Practice address
- 5310 N Sheridan Rd
Chicago, IL 60640-2514 - Phone
- (773) 769-8165
- Fax
- (773) 769-8167
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 016004484 | IL | Primary |
Addresses
Primary practice location
5310 N Sheridan Rd
Chicago, IL 60640-2514
Mailing address
2 E Oak St Apt 3601
Chicago, IL 60611-6203
Phone (312) 642-2236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004484 | Medicaid | IL |
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 |
|---|---|---|---|
| 016004484 | IL | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Lopez Cordero, M.D., S.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Chicago, IL
- NPI 1346556057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265651905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E OAK ST APT 3601",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116203",
"telephone_number": "312-642-2236",
"fax_number": "312-642-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402514",
"telephone_number": "773-769-8165",
"fax_number": "773-769-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUZON",
"first_name": "CAYETANO",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IL",
"license": "016004484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004484",
"state": "IL"
}
],
"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.