Active NPI
Monika Ignatowicz Friedrich, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Hines, IL
National Provider Identifier
1386872422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016005476
- Practice address
- 5000 S 5TH Ave
Surgery Dept
Hines, IL 60141-3030 - Phone
- (708) 202-2642
- NPI assigned
- Jun 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005476 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005476 | IL | Primary |
Addresses
Primary practice location
5000 S 5TH Ave
Surgery Dept
Hines, IL 60141-3030
Mailing address
5000 S 5TH Ave
Surgery Dept
Hines, IL 60141-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 726711 | Other | IL | MEDICARE PROVIDER# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016005476 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1386872422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 S 5TH AVE",
"address_2": "SURGERY DEPT",
"city": "HINES",
"state": "IL",
"postal_code": "601413030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S 5TH AVE",
"address_2": "SURGERY DEPT",
"city": "HINES",
"state": "IL",
"postal_code": "601413030",
"telephone_number": "708-202-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "MONIKA",
"middle_name": "IGNATOWICZ",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-28",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005476",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016005476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER#",
"identifier": "726711",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.