Active NPI
Tri-County Foot & Ankle Centers LTD
- Foot & Ankle Surgery Podiatrist
- McHenry, IL
National Provider Identifier
1376715870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- TRI-COUNTY FOOT & ANKLE CENTERS LTD
- Practice address
- 4310 W Crystal Lake Rd Ste F
McHenry, IL 60050-4282 - Phone
- (815) 363-3223
- Fax
- (815) 353-3240
- NPI assigned
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Iqbal Khan
- Title
- President
- Phone
- (815) 363-3223
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
4310 W Crystal Lake Rd Ste F
McHenry, IL 60050-4282
Mailing address
4310 W Crystal Lake Rd Ste F
McHenry, IL 60050-4282
Phone (815) 363-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
36735 N Il Route 83
Ste D1
Lake Villa, IL 60046
Phone (847) 356-3338
7611 Pershing Blvd
Ste F
Kenosha, WI 53142
Phone (262) 697-3668
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1407180532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1376715870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 W CRYSTAL LAKE RD STE F",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504282",
"telephone_number": "815-363-3223",
"fax_number": "815-353-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 W CRYSTAL LAKE RD STE F",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504282",
"telephone_number": "815-363-3223",
"fax_number": "815-353-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY FOOT & ANKLE CENTERS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "IQBAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-363-3223",
"authorized_official_name_prefix": "Dr."
},
"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 McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.