NPIMap

Organization Active NPI

Lake Zurich Podiatry PC

  • Podiatrist
  • Lake Zurich, IL
National Provider Identifier
1477679397
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-003263 Issued in IL
Legal business name
LAKE ZURICH PODIATRY PC
Practice address
950 W Main St
Suite 105
Lake Zurich, IL 60047-3417
Phone
(847) 540-0234
Fax
(847) 540-0867
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Dr. Elizabeth Jean Sosinski, D.P.M.NPI 1427174325
Title
President
Phone
(847) 540-0234

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016-003263 IL Primary

Addresses

Primary practice location

950 W Main St
Suite 105
Lake Zurich, IL 60047-3417

Mailing address

950 W Main St
Suite 105
Lake Zurich, IL 60047-3417
Phone (847) 540-0234

Other identifiers 3

IdentifierTypeStateIssuer
DG9348OtherILRAILROAD MEDICARE GROUP PTAN
04927332OtherBLUE CROSS BLUE SHIELD
480001414OtherRAILROAD MEDICARE PTAN

Other names 1

  • Lake Zurich Foot Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050630000406 IL Part B Supplier - Clinic/Group Practice 0547206419 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Zurich, IL
O20100930066914 IL DME Supplier - Physician - Podiatry 0547206419 Practice locations: Lake Zurich, IL

National Provider Directory

National Provider Directory

Locations

950 W State Route 22
Ste 105
Lake Zurich, IL 60047
Phone (847) 540-0234

133 W Main St
Lake Zurich, IL 60047
Phone (847) 540-0234

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1477679397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W MAIN ST",
            "address_2": "SUITE 105",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473417",
            "telephone_number": "847-540-0234",
            "fax_number": "847-540-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MAIN ST",
            "address_2": "SUITE 105",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473417",
            "telephone_number": "847-540-0234",
            "fax_number": "847-540-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ZURICH PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "SOSINSKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-540-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DG9348",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "04927332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "480001414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Zurich Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.