NPIMap

Organization Active NPI

Michael M. Maghrabi DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1326219494
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MICHAEL M. MAGHRABI DPM, PC
Practice address
2222 W Division St
105
Chicago, IL 60622-2717
Phone
(773) 862-3600
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Michael M Maghrabi, DPMNPI 1598752651
Title
Owner
Phone
(773) 522-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2222 W Division St
105
Chicago, IL 60622-2717

Mailing address

2222 W Division St
105
Chicago, IL 60622-2717
Phone (773) 862-3600

Other names 1

  • FOOT CLINICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080913000058 IL Part B Supplier - Clinic/Group Practice 9931275054 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL
O20100930100186 IL DME Supplier - Physician - Podiatry 9931275054 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

2623 S Lawndale Ave
Ste C
Chicago, IL 60623
Phone (773) 522-9700

2623 S Lawndale Ave
Ste Cr
Chicago, IL 60623

2632 S Lawndale Ave
Ste C
Chicago, IL 60623

2632 S Lawndale Ave
Chicago, IL 60623

2222 W Division St
Ste 105
Chicago, IL 60622
Phone (773) 862-3600

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1326219494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-862-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-862-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. MAGHRABI DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "MAGHRABI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-522-9700",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.