Individual provider Active NPI

Kathy Apostal, DPM

  • Podiatrist
  • Wilmette, IL
National Provider Identifier
1417026733
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016003159 Issued in IL
Practice address
1921 Lake Ave
Suite a
Wilmette, IL 60091-1480
Phone
(847) 256-4434
Fax
(847) 256-4437
NPI assigned
Nov 8, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003159 IL Primary

Addresses

Primary practice location

1921 Lake Ave
Suite a
Wilmette, IL 60091-1480

Mailing address

1921 Lake Ave
Suite a
Wilmette, IL 60091-1480
Phone (847) 256-4434

Other names 1

  • Dr. Kathy Banos Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016003159ILMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1417026733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE",
            "address_2": "SUITE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-256-4434",
            "fax_number": "847-256-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LAKE AVE",
            "address_2": "SUITE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911480",
            "telephone_number": "847-256-4434",
            "fax_number": "847-256-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTAL",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BANOS",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.