Organization Active NPI

Foot Care Group PC

  • Podiatrist
  • Libertyville, IL
National Provider Identifier
1396852224
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004103 Issued in IL
Legal business name
FOOT CARE GROUP PC
Practice address
1800 Hollister Dr
Ste 109
Libertyville, IL 60048-5265
Phone
(847) 362-8848
Fax
(847) 362-8860
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Steven N Sharlin, DPMNPI 1336127067
Title
Physician
Phone
(847) 362-8848

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
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 016004103 IL Primary

Addresses

Primary practice location

1800 Hollister Dr
Ste 109
Libertyville, IL 60048-5265

Mailing address

1800 Hollister Dr
Ste 109
Libertyville, IL 60048-5265
Phone (847) 362-8848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000928 IL Part B Supplier - Clinic/Group Practice 6406045459 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

680 N Lake Shore Dr
Ste 1305
Chicago, IL 60611
Phone (312) 337-2468

233 E Erie St
Ste 302
Chicago, IL 60611
Phone (312) 649-6565

15 Spinning Wheel Rd
Ste 109
Hinsdale, IL 60521

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1396852224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "STE 109",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-362-8848",
            "fax_number": "847-362-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "STE 109",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485265",
            "telephone_number": "847-362-8848",
            "fax_number": "847-362-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SHARLIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-362-8848",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.