Andersonmont

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004882 Issued in IL

Legal business name

ANDERSONMONT

Doing business as

Lake County Foot & Ankle

Practice address

1200 N Green Bay Rd
Waukegan, IL 60085-2246

Phone

(847) 249-3338

Fax

(847) 249-8218

NPI assigned

Apr 14, 2015

Last updated

Jul 28, 2015By 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

Dr. Joel R Anderson, DPMNPI 1952341505

Title

President

Phone

(847) 358-7005

Specialties & licenses 1

Addresses

Other names 1

• Lake County Foot & Ankle Doing business as

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.

• Joel R Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1952341505
  Authorized official Same address or phone

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1386030625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HICKS RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600673608",
            "telephone_number": "847-358-7005",
            "fax_number": "847-358-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852246",
            "telephone_number": "847-249-3338",
            "fax_number": "847-249-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSONMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-358-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Anastasia, CCC-SLP
• Anne Anderson
• Craig Robert Anderson, RPH
• Grace Anderson
• Tracy Ann Anderson, BSW
• Anesthesia Associates of Vista Health Services, LTD.
• Rowell Angeles
• Rosemarie Yap Anilao, RN
• Ann Kiley Developmental Center Unit 3161Home1
• Ann Kiley Developmental Center Unit 3162

• Podiatrist in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.