Organization Active NPI

Kondiles Chicagoland Foot Care Center P C

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1275796021
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003993 Issued in IL
Legal business name
KONDILES CHICAGOLAND FOOT CARE CENTER P C
Practice address
5600 W Addison St
Lower Level 2
Chicago, IL 60634-4401
Phone
(773) 545-3338
Fax
(773) 545-3788
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Milton N Kondiles, DPM
Title
Owner
Phone
(773) 545-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016003993 IL Primary

Addresses

Primary practice location

5600 W Addison St
Lower Level 2
Chicago, IL 60634-4401

Mailing address

5600 W Addison St
Suite LL-002
Chicago, IL 60634-4401
Phone (773) 545-3338

Other identifiers 1

IdentifierTypeStateIssuer
016003993MedicaidIL

National Provider Directory

National Provider Directory

Locations

501 N Riverside Dr
Gurnee, IL 60031
Phone (773) 545-3338

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1275796021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE LL-002",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-545-3338",
            "fax_number": "773-545-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "LOWER LEVEL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-545-3338",
            "fax_number": "773-545-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONDILES CHICAGOLAND FOOT CARE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KONDILES",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-545-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003993",
            "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 May 4, 2021; 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.