Active NPI
Prime Foot and Ankle PLLC
- Foot & Ankle Surgery Podiatrist
- Midlothian, IL
National Provider Identifier
1336079052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PRIME FOOT AND ANKLE PLLC
- Practice address
- 4417 147TH St
Midlothian, IL 60445-2643 - Phone
- (708) 388-3910
- NPI assigned
- May 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neveen Abuali, DPM
- Title
- Owner
- Phone
- (847) 271-2850
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | |||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | |||
| Radiology Podiatrist | 213ER0200X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary | ||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
4417 147TH St
Midlothian, IL 60445-2643
Mailing address
4417 147TH St
Midlothian, IL 60445-2643
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1336079052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 147TH ST",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604452643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 147TH ST",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604452643",
"telephone_number": "708-388-3910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME FOOT AND ANKLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-22",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "ABUALI",
"authorized_official_first_name": "NEVEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-271-2850",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.