Organization Active NPI

Oexeman Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1356910970
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OEXEMAN FOOT AND ANKLE PLLC
Practice address
711 W North Ave Ste 210
Chicago, IL 60610-1042
Phone
(312) 849-5838
NPI assigned
Jun 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Stephanie Oexeman, DPMNPI 1427419373
Title
Owner/ Manager
Phone
(314) 753-9388

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

711 W North Ave Ste 210
Chicago, IL 60610-1042

Mailing address

1917 Kentwood CT
Darien, IL 60561-5366
Phone (314) 753-9388

Other practice location 1

1917 Kentwood Ct
Darien, IL 60561-5366
Phone (314) 753-9388

Other practice location 2

2913 N Commonwealth Ave
Chicago, IL 60657-6211
Phone (312) 335-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000544 IL Part B Supplier - Clinic/Group Practice 0244628055 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

711 W North Ave
Ste 210
Chicago, IL 60610
Phone (312) 642-3440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1356910970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 KENTWOOD CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615366",
            "telephone_number": "314-753-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-849-5838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Kentwood Ct",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "IL",
            "postal_code": "605615366",
            "country_code": "US",
            "telephone_number": "314-753-9388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2913 N Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576211",
            "country_code": "US",
            "telephone_number": "312-335-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OEXEMAN FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "OEXEMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "314-753-9388",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "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 Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.