Suburban Foot & Ankle Associates Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004455 Issued in IL

Legal business name

SUBURBAN FOOT & ANKLE ASSOCIATES INC

Practice address

215 Remington Blvd Ste A2
Bolingbrook, IL 60440-3657

Phone

(630) 226-9860

Fax

(630) 312-8662

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maura A Davis

Title

Office Manager

Phone

(630) 226-9860

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Suburban Foot & Ankle Associates, Inc

  • Non-Pharmacy Dispensing Site
  • Plainfield, IL
  • NPI 1487905089
  NPPES parent name

Practitioners 1

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

• Paul T Basile, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bolingbrook, IL
  • NPI 1417951898
  Medicare reassignment NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1487860698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE A2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403657",
            "telephone_number": "630-226-9860",
            "fax_number": "630-312-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 REMINGTON BLVD STE A2",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403657",
            "telephone_number": "630-226-9860",
            "fax_number": "630-312-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN FOOT & ANKLE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-226-9860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "09922757",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Carrasquillo Stumpf, MS, SLP-CCC
• Theresa Basilo Sturgeon, PT
• Joseph Subak Jr., O.D.
• Suburban Cardiologists, S.C.
• Suburban Counseling Associates, LLC
• Suburban Medical Group Corp
• Kate M Sullivan Sartori, DPT
• Randall Frank Summers, D.D.S.
• Summit Total Health SC
• Sunny Ridge Family Center, Inc

• Foot & Ankle Surgery Podiatrist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.