Organization Active NPI

Charlotte M. Covello, DPM,LLC

  • Podiatric Clinic/Center
  • Chicago, IL
National Provider Identifier
1427245141
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016004997 Issued in IL
Legal business name
CHARLOTTE M. COVELLO, DPM,LLC
Practice address
30 N Michigan Ave
Suite 720
Chicago, IL 60602-3809
Phone
(312) 701-0770
Fax
(312) 701-0705
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Charlotte McCain Covello, D.P.M.
Title
Practice Owner
Phone
(312) 701-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016004997 IL Primary

Addresses

Primary practice location

30 N Michigan Ave
Suite 720
Chicago, IL 60602-3809

Mailing address

30 N Michigan Ave
Suite 720
Chicago, IL 60602-3809
Phone (312) 701-0770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1427245141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023809",
            "telephone_number": "312-701-0770",
            "fax_number": "312-701-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023809",
            "telephone_number": "312-701-0770",
            "fax_number": "312-701-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE M. COVELLO, DPM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "COVELLO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "MCCAIN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "312-701-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016004997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.