Rafati Foot and Ankle Clinic LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005230 Issued in IL

Legal business name

RAFATI FOOT AND ANKLE CLINIC LLC

Practice address

9340 Lochwood PL
Tinley Park, IL 60487-4797

Phone

(219) 688-6292

Fax

(708) 206-6589

NPI assigned

May 8, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Murad Abdelqader, DPM

Title

President

Phone

(708) 250-3869

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336352095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 LOCHWOOD PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874797",
            "telephone_number": "219-688-6292",
            "fax_number": "708-206-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 LOCHWOOD PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604874797",
            "telephone_number": "219-688-6292",
            "fax_number": "708-206-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604537000",
            "country_code": "US",
            "telephone_number": "708-599-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7604 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "IL",
            "postal_code": "605011812",
            "country_code": "US",
            "telephone_number": "219-688-6292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAFATI FOOT AND ANKLE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDELQADER",
        "authorized_official_first_name": "MURAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-250-3869",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005230",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.