Organization Active NPI

Foot and Ankle Wellness Center

  • Durable Medical Equipment & Medical Supplies
  • Woodridge, IL
National Provider Identifier
1467577981
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT AND ANKLE WELLNESS CENTER
Practice address
3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone
(630) 852-8522
Fax
(630) 541-2214
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Leonard E. Vekkos, DPMNPI 1326032871
Title
Ceo
Phone
(630) 852-8522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221

Mailing address

3540 Seven Bridges Dr
Suite 290
Woodridge, IL 60517-1221
Phone (630) 852-8522

Other identifiers 2

IdentifierTypeStateIssuer
4910850002OtherILDMERC NUMBER
4910850001OtherILDMERC NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1467577981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-541-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SEVEN BRIDGES DR",
            "address_2": "SUITE 290",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171221",
            "telephone_number": "630-852-8522",
            "fax_number": "630-541-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "VEKKOS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-852-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "4910850002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "4910850001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.