Performance Podiatry Partners, LLC

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

Legal business name

PERFORMANCE PODIATRY PARTNERS, LLC

Practice address

4805 N Claremont Ave
Commercial Unit 1
Chicago, IL 60625

Phone

(312) 579-3150

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Supna Reilly, DPMNPI 1760791156

Title

Physician

Phone

(508) 259-8466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Practitioners 4

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

• Supna Oberoi Reilly

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1760791156
  Medicare reassignment Care Compare group Authorized official
• Ersta Putra Ferryanto, DPM

  • Podiatrist
  • Glenview, IL
  • NPI 1588243984

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Marlene Reid Kosova, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1558348136
  Medicare reassignment Care Compare group NPD
• Julia Sinclair Butts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mason, OH
  • NPI 1336419241

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1265942080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N WINCHESTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143915",
            "telephone_number": "508-259-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 N CLAREMONT AVE",
            "address_2": "COMMERCIAL UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "312-579-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PODIATRY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "SUPNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-259-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Smile P.C.
• Perfect Smile P.C.
• Nicole Perfetti
• Madeline M Perfitt, LPC
• Performance in Motion Rehabilitation, Inc
• Perfusion Source LTD
• Alba Pergjika, M.D.
• Frank C Perham, LCPC
• Natasa Peric, LMSW MSSW
• Peridot Counseling PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.