Joel R. Anderson, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JOEL R. ANDERSON, PC

Doing business as

Advanced Foot & Ankle Centers of Illinois

Practice address

4920 N Central Ave
Ste 1a
Chicago, IL 60630-2338

Phone

(773) 736-3338

Fax

(773) 736-1289

NPI assigned

May 3, 2007

Last updated

Apr 18, 2017By 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, D.P.M.NPI 1952341505

Title

Owner

Phone

(773) 736-3338

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Foot & Ankle Centers of Illinois Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Advanced Foot Ankle Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joel R Anderson PC

  dba Advanced Foot & Ankle Centers

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1619382348
  NPD tax ID

Locations

Practitioners 3

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
  Medicare reassignment NPD Authorized official
• Daniel Patrick Hare, DPM

  • Podiatrist
  • Homer Glen, IL
  • NPI 1215464805
  Medicare reassignment
• David Floyd Bowers, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1073555215

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1396967550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE",
            "address_2": "SUITE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302338",
            "telephone_number": "773-736-3338",
            "fax_number": "773-736-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 N CENTRAL AVE",
            "address_2": "STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302338",
            "telephone_number": "773-736-3338",
            "fax_number": "773-736-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL R. ANDERSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-736-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF5705",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot & Ankle Centers of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe Nelson Physical Therapy and Performance
• Camilla Joe, O.D.
• Stephanie A. Joe, M.D.
• Hillarie Elizabeth Joehl, APRN, CNP
• Joel R Anderson PC (Advanced Foot & Ankle Centers)
• Joelle Spiegel LCSW PLLC
• Joey Allaire, PLLC
• Maria Joh
• Gurbir Johal, M.D.
• Inderbir S. Johal, MD

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.