Mokena Foot &Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MOKENA FOOT &ANKLE CLINIC

Practice address

19841 Wolf Rd
Mokena, IL 60448-1315

Phone

(708) 479-0790

Fax

(708) 479-0792

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip D Narcissi, DPMNPI 1407816093

Title

Doctor

Phone

(708) 479-0790

Specialties & licenses 1

Addresses

Locations

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.

• Phillip David Narcissi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
  • NPI 1407816093
  NPD (past) Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1508049826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481315",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481315",
            "telephone_number": "708-479-0790",
            "fax_number": "708-479-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKENA FOOT &ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "NARCISSI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-479-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari K Mizera, DPT
• Natalie Leona Mobley
• Adrienne Leigh Moeller, PT, DPT
• Mokena Family Physicians LLC
• Mokena Fire Protection District
• Mokena Pharmacy Inc
• Mokena School District 159
• Jacob Morgenstern, M.D.
• Carol Mravinac
• Donna Lynn Muehlbacher, COTA/L

• Foot & Ankle Surgery Podiatrist in Mokena, IL
• Providers in Mokena, 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 Dec 10, 2007; 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.