Anthony Vincent Pollastrini, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-004198 Issued in IL

Practice address

3381 W Main St
Suite 2
Saint Charles, IL 60175-1008

Phone

(630) 584-3400

Fax

(630) 584-3406

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1285770909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751008",
            "telephone_number": "630-584-3400",
            "fax_number": "630-584-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601751008",
            "telephone_number": "630-584-3400",
            "fax_number": "630-584-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLASTRINI",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pieczynski, N.P.
• Carla A Pignataro, PT
• Plum Tree Psychology LTD
• Cindy Poegel, MA, CCC-SLP/L
• David Pokrywiecki
• Elizabeth Ellen Pollina
• Nancy Portillo, D.C.
• Kelsey Possley
• Stephen S Potisuk, PT
• Michelle Potter, LCPC

• Foot & Ankle Surgery Podiatrist in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.