NPIMap

Organization Active NPI

Fox Valley Foot and Ankle Specialist, LTD

  • Foot & Ankle Surgery Podiatrist
  • Geneva, IL
National Provider Identifier
1285817536
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003529 Issued in IL
Legal business name
FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD
Practice address
2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577
Phone
(630) 232-1013
Fax
(630) 232-1014
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Mark Mondul
Title
Owner
Phone
(630) 232-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016003529 IL Primary

Addresses

Primary practice location

2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577

Mailing address

PO Box 762
Geneva, IL 60134-0762
Phone (630) 232-1013

Other identifiers 1

IdentifierTypeStateIssuer
60001518OtherILBCBS

National Provider Directory

National Provider Directory

Locations

2401 Kaneville Rd
Geneva, IL 60134
Phone (630) 232-1013

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1285817536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601340762",
            "telephone_number": "630-232-1013",
            "fax_number": "630-232-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KANEVILLE RD STE 6",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-232-1013",
            "fax_number": "630-232-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MONDUL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-232-1013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60001518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.