Edgebrook Foot & Ankle Clinic, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005386 Issued in IL

Legal business name

EDGEBROOK FOOT & ANKLE CLINIC, INC

Practice address

5330 W Devon Ave
Suite 10
Chicago, IL 60646-4148

Phone

(773) 792-9300

Fax

(773) 792-9302

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Pratibha B Patel, DPM

Title

Adminstrator

Phone

(773) 792-9300

Specialties & licenses 1

Addresses

Other names 1

• http://www.edgefoot.com Other name

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1306071972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 W DEVON AVE",
            "address_2": "SUITE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464148",
            "telephone_number": "773-792-9300",
            "fax_number": "773-792-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 W DEVON AVE",
            "address_2": "SUITE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464148",
            "telephone_number": "773-792-9300",
            "fax_number": "773-792-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEBROOK FOOT & ANKLE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "773-792-9300",
        "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": "016.005386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "http://www.edgefoot.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgar J Vargas, MD LTD
• Edgar Rios M.D., S.C
• Lauren Edgar, MD
• Alissa Ann Edge, MA, LCPC
• Edgebrook Chiropractic Health Center
• Edgebrook Open MRI Inc
• Edgebrook Vision Center LLC
• Robert Reynolds Edger, MD
• Cole Dreskin Edgerton
• Edgewater Beach Foot and Ankle Center, P.C.

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, 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 Jun 8, 2012; 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.