Individual provider Active NPI

Leonard E Vekkos, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodridge, IL
National Provider Identifier
1326032871
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-003413 Issued in IL
Practice address
3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone
(630) 852-8522
Fax
(630) 852-8556
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-003413 IL Primary

Addresses

Primary practice location

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221

Mailing address

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone (630) 852-8522

Other identifiers 1

IdentifierTypeStateIssuer
K00489OtherILPIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000247 IL Practitioner - Podiatry 2961399605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions1-10
Removal of nail tissue303
Removal or shaving of skin growth92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003413ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery Current Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 18, 2022 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 18, 2022 Accepting new patients
Foot and Ankle Wellness Center Past Accepting new patients
Foot and Ankle Specialists of Fox Valley Foot & Ankle Surgery PastSince Aug 1, 2007 Accepting new patients

Locations

454 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 759-4411

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

3540 Seven Bridges Dr
Ste 290
Woodridge, IL 60517
Phone (630) 852-8522

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1326032871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-852-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-852-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEKKOS",
        "first_name": "LEONARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-003413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "K00489",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.