Podiatric Management Systems LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

PODIATRIC MANAGEMENT SYSTEMS LLC

Practice address

765 Ela Rd
Lake Zurich, IL 60047-2385

Phone

(847) 540-9949

Fax

(847) 540-9971

NPI assigned

Apr 11, 2007

Last updated

Sep 2, 2020By 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

Ms. Patrice Cooper

Title

Administrator

Phone

(312) 372-1160

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Podiatric Management Systems LLC

  dba Professional Foot and Ankle

  • Podiatrist
  • Olympia Fields, IL
  • NPI 1710591128

  Member Of

  NPD member

Locations

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.

• Kevin Sean Gavin, D.P.M.

  • Podiatrist
  • Algonquin, IL
  • NPI 1861424624

  Primary Podiatric Medicine

  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1396968053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017499",
            "telephone_number": "312-372-1160",
            "fax_number": "312-372-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472385",
            "telephone_number": "847-540-9949",
            "fax_number": "847-540-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Michigan Ave",
            "address_2": "Suite 503",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033211",
            "country_code": "US",
            "telephone_number": "312-372-1160",
            "fax_number": "312-372-3346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262815",
            "country_code": "US",
            "telephone_number": "630-530-3338",
            "fax_number": "630-560-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-372-1160",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "90001026",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1621423",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Perez, MSW
• Wendy Sue Perlin, M.A.C.C.C. SLP
• Physiaservpc
• Claudia G. Pitts, PH.D.
• Play & Learn Therapy, Inc
• Nicholas Aleksei Podkowirow, DPM
• Heather M Pohlman, FDN-P, FMCHC
• Diann Kay Pomeroy
• Sue Potempa
• Scott D Pouyat, O.D

• Primary Podiatric Medicine Podiatrist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.