NPIMap

Organization Active NPI

Chicago Surgicare, PC

  • Podiatric Clinic/Center
  • Chicago, IL
National Provider Identifier
1376615518
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
CHICAGO SURGICARE, PC
Practice address
1424 E 53Rd St
Chicago, IL 60615-4500
Phone
(773) 324-3338
Fax
(773) 324-1866
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Charles Mitchell, DPM
Title
Preident
Phone
(773) 324-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1424 E 53Rd St
Chicago, IL 60615-4500

Mailing address

1424 E 53Rd St
Chicago, IL 60615-4500
Phone (773) 324-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1376615518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154500",
            "telephone_number": "773-324-3338",
            "fax_number": "773-324-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154500",
            "telephone_number": "773-324-3338",
            "fax_number": "773-324-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SURGICARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "773-324-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "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 Apr 30, 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.