Denise J Petenzi, DPM, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005107 Issued in IL

Legal business name

DENISE J PETENZI, DPM, LLC

Practice address

2644 N Wayne Ave Apt C
Chicago, IL 60614-6783

Phone

(312) 505-0156

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Denise Petenzi, DPMNPI 1457329708

Title

Owner

Phone

(312) 505-0156

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Petenzi, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1457329708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1437607769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 N WAYNE AVE",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141222",
            "telephone_number": "312-505-0156",
            "fax_number": "773-529-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 N WAYNE AVE APT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146783",
            "telephone_number": "312-505-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE J PETENZI, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "PETENZI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-505-0156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005107",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence Stephen Denis, OD
• Kaylah Denis
• Liz M Denis, PA-C
• Sareena M Denis, OTD, OTR/L
• Denise Bennett, LLC
• Mariya V Denisenko
• Shalako Lee Denison, M.D.
• Sophia Denison
• Hale Deniz-Venturi, MS, ATC, LAT, RD,LDN
• Mayra Deniz

• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.