Prairie Foot & Ankle, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005367 Issued in IL

Legal business name

PRAIRIE FOOT & ANKLE, P.C.

Practice address

7447 West Talcott Ave
Suite 406
Chicago, IL 60163-3275

Phone

(224) 227-6973

Fax

(224) 238-3296

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By 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

Denise Mary-Danielle Lee, BSHA/MMHRM

Title

Practice Administrator

Phone

(224) 227-6973

Specialties & licenses 1

Addresses

Tax ID family

Prairie Foot Ankle PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prairie Foot & Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1881936649
  NPD tax ID

Practitioners 1

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.

• Supreet Kaur Dhaliwal

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1912168931
  NPD

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1346752656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313715",
            "telephone_number": "224-227-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 WEST TALCOTT AVE",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "601633275",
            "telephone_number": "224-227-6973",
            "fax_number": "224-238-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE FOOT & ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARY-DANIELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "224-227-6973",
        "authorized_official_credential": "BSHA/MMHRM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna V Prah
• Kathryn Lisa Pyrek Prahin, LCSW
• Mary Kathryn Prahl, M.D.
• Praire Shores Dental (mercy dental center)
• Prairie Anesthesia LLC
• Prairie Medical Associates
• Prairie State Rehab, LLC
• Prairieland Therapy LLC
• Snahel M Prajapati, D.M.D.
• Molly Claire Prajka, APRN, CNP

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.