Organization Active NPI

Chicago Podiatry Services, P.C.

Doing business as Chatham Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1336186840
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CHICAGO PODIATRY SERVICES, P.C.
Doing business as
Chatham Foot Specialists
Practice address
8751 S Greenwood Ave
#108
Chicago, IL 60619-7051
Phone
(773) 978-3338
Fax
(773) 978-4606
NPI assigned
Jun 1, 2006
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Jeremy Cowan, D.P.M.NPI 1548202716
Title
President
Phone
(773) 978-3338

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 Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

8751 S Greenwood Ave
#108
Chicago, IL 60619-7051

Mailing address

8751 S Greenwood Ave
#108
Chicago, IL 60619-7051
Phone (773) 978-3338

Other identifiers 3

IdentifierTypeStateIssuer
1633823OtherBLUE CROSS BLUE SHIELD
601015700OtherDEPARTMENT OF LABOR
DA8100OtherRAILROAD MEDICARE NUMBER

Other names 1

  • Chatham Foot Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1516 E 87th St
Chicago, IL 60619
Phone (773) 375-7106

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1336186840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 S GREENWOOD AVE",
            "address_2": "#108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197051",
            "telephone_number": "773-978-3338",
            "fax_number": "773-978-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 S GREENWOOD AVE",
            "address_2": "#108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197051",
            "telephone_number": "773-978-3338",
            "fax_number": "773-978-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PODIATRY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-978-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1633823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "601015700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "DA8100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Foot Specialists",
            "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 Nov 3, 2011; 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.