Organization Active NPI

Edward I Ratkovich DPM SC

  • Foot & Ankle Surgery Podiatrist
  • Orland Park, IL
National Provider Identifier
1356458863
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EDWARD I RATKOVICH DPM SC
Practice address
10751 W 143Rd St
Orland Park, IL 60462-1900
Phone
(708) 460-8688
Fax
(708) 460-9272
NPI assigned
Aug 23, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Edward I Ratkovich, DPMNPI 1427006568
Title
President
Phone
(312) 498-2193

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 IL Primary

Addresses

Primary practice location

10751 W 143Rd St
Orland Park, IL 60462-1900

Mailing address

111 W Maple St Apt 2210
Chicago, IL 60610-5454
Phone (312) 498-2193

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356458863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MAPLE ST APT 2210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105454",
            "telephone_number": "312-498-2193",
            "fax_number": "312-642-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "708-460-8688",
            "fax_number": "708-460-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD I RATKOVICH DPM SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RATKOVICH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-498-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • 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.