NPIMap

Organization Active NPI

Jennifer Irene Kirchens DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Deerfield, IL
National Provider Identifier
1467506865
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005092 Issued in IL
Legal business name
JENNIFER IRENE KIRCHENS DPM PC
Practice address
375 Elm St
Deerfield, IL 60015-4376
Phone
(847) 940-4010
Fax
(847) 317-2564
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Jennifer Irene Kirchens, D.P.M.
Title
President
Phone
(773) 991-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016-005092 IL Primary

Addresses

Primary practice location

375 Elm St
Deerfield, IL 60015-4376

Mailing address

1111 S State St
Unit 404
Chicago, IL 60605-3170
Phone (773) 991-4493

National Provider Directory

National Provider Directory

Locations

375 Elm St
Deerfield, IL 60015
Phone (847) 940-4010

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1467506865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S STATE ST",
            "address_2": "UNIT 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053170",
            "telephone_number": "773-991-4493",
            "fax_number": "312-341-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ELM ST",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154376",
            "telephone_number": "847-940-4010",
            "fax_number": "847-317-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER IRENE KIRCHENS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "KIRCHENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-991-4493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.