Aleksandr Komarov DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ALEKSANDR KOMAROV DPM LLC

Practice address

1360 N Lake Shore Dr Apt 708
Chicago, IL 60610-8442

Phone

(248) 787-3625

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Aleksandr Komarov, DPMNPI 1891066999

Title

Ceo, Sole Member

Phone

(248) 787-9684

Specialties & licenses 2

Addresses

Other names 1

• Lansing Foot & Ankle Doing business as

Locations

Practitioners 1

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

• Aleksandr Komarov, DPM

  • Foot & Ankle Surgery Podiatrist
  • Berwyn, IL
  • NPI 1891066999

  Foot & Ankle Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1275964918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N LAKE SHORE DR APT 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108442",
            "telephone_number": "248-787-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N LAKE SHORE DR APT 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108442",
            "telephone_number": "248-787-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "604383112",
            "country_code": "US",
            "telephone_number": "708-474-1040",
            "fax_number": "708-474-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEKSANDR KOMAROV DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "KOMAROV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "CEO, SOLE MEMBER",
        "authorized_official_telephone_number": "248-787-9684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansing Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alef Transportation
• Alegria Habilitation
• Estela Alejandre
• Alyssa Megan Alejandrino
• Aleksandar Krunic, MD, SC
• Aleksandra Stobnicki MD Violeta Avramov MD SC
• Dinko Aleksandrov, PSYD
• Iryna Aleksandrova, MD
• Kathleen Aleman, D.C.
• Mark Aleman, D.C.

• All providers in Chicago, IL
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.