NPIMap

Organization Active NPI

Podiatry of Illinois, PC

Doing business as Podiatry of Arlington Heights

  • Foot Surgery Podiatrist
  • Arlington Heights, IL
National Provider Identifier
1508365529
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
PODIATRY OF ILLINOIS, PC
Doing business as
Podiatry of Arlington Heights
Podiatry of Palatine
Practice address
8 N Dunton Ave
Arlington Heights, IL 60005-1426
Phone
(847) 255-5004
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Natalie DPM Domek, DPM
Title
Owner
Phone
(847) 636-9522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

8 N Dunton Ave
Arlington Heights, IL 60005-1426

Mailing address

665 N Victoria Dr
Palatine, IL 60074-4193
Phone (847) 636-9522

Other practice location 1

60 W Palatine Rd
Palatine, IL 60067-5122
Phone (847) 255-5004

Other identifiers 1

IdentifierTypeStateIssuer
016005609MedicaidIL

Other names 2

  • Podiatry of Arlington Heights Doing business as
  • Podiatry of Palatine Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180309001416 IL Part B Supplier - Clinic/Group Practice 5991066839 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Arlington Heights, IL; Palatine, IL
O20180504000842 IL DME Supplier - Physician - Podiatry 5991066839 Practice locations: Arlington Heights, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Podiatry of Illinois PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 W Palatine Rd
Palatine, IL 60067
Phone (847) 255-5004

Ownership & related parties

Subparts reporting this organization as parent 2

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

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": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1508365529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N VICTORIA DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600744193",
            "telephone_number": "847-636-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051426",
            "telephone_number": "847-255-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 W Palatine Rd",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600675122",
            "country_code": "US",
            "telephone_number": "847-255-5004",
            "fax_number": "877-336-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PODIATRY OF ILLINOIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMEK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "DPM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-636-9522",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005609",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry of Arlington Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Podiatry of Palatine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.