Robert a. Raley DPM SC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016003683 Issued in IL

Legal business name

ROBERT A. RALEY DPM SC

Practice address

70 Meadowview Ctr
Suite 401
Kankakee, IL 60901-2047

Phone

(815) 932-1724

Fax

(815) 932-1729

NPI assigned

Mar 22, 2017

Organization subpart

Yes

Parent organization

1955As reported in NPPES

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

Authorized official

Name

Dr. Robert A Raley, DPM

Title

President

Phone

(815) 954-2243

Specialties & licenses 1

Addresses

Part of

Robert a Raley DPM

Locations

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1437680402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 401",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-932-1724",
            "fax_number": "815-932-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 401",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-932-1724",
            "fax_number": "815-932-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. RALEY DPM SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1955",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-954-2243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.