Illiana Footcare Solutions Service Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ILLIANA FOOTCARE SOLUTIONS SERVICE CORPORATION

Doing business as

Illiana Foot Care Solutions

Practice address

1004 E Church Rd
Beecher, IL 60401-3570

Phone

(515) 494-3181

NPI assigned

Apr 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Frencl, DPM

Title

Ceo/President

Phone

(515) 494-3181

Specialties & licenses 1

Addresses

Other names 1

• Illiana Foot Care Solutions Doing business as

Locations

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1508420886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E CHURCH RD",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013570",
            "telephone_number": "515-494-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E CHURCH RD",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013570",
            "telephone_number": "515-494-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Washington St",
            "address_2": "Suite 300 PMB 65",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "46383",
            "country_code": "US",
            "telephone_number": "515-494-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLIANA FOOTCARE SOLUTIONS SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "FRENCL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "515-494-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illiana Foot Care Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Beecher, IL
• Providers in Beecher, 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 Mar 3, 2020; 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.