NPIMap

Organization Active NPI

KT Podiatry, L.L.C.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1336524875
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005591 Issued in IL
Legal business name
KT PODIATRY, L.L.C.
Practice address
1710 W North Ave
Chicago, IL 60622-2125
Phone
(847) 406-9053
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Kristin Truncale, DPM
Title
Podiatric Physician / Manager
Phone
(847) 406-9053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016.005591 IL Primary

Addresses

Primary practice location

1710 W North Ave
Chicago, IL 60622-2125

Mailing address

1710 W North Ave
Chicago, IL 60622-2125

National Provider Directory

National Provider Directory

Locations

1710 W North Ave
Chicago, IL 60622
Phone (847) 406-9053

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1336524875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222125",
            "telephone_number": "847-406-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT PODIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "TRUNCALE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PODIATRIC PHYSICIAN / MANAGER",
        "authorized_official_telephone_number": "847-406-9053",
        "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": "016.005591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2015; 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.