NPIMap

Organization Active NPI

Foti Chronopoulos MD SC

  • Obstetrics & Gynecology Physician
  • Oak Lawn, IL
National Provider Identifier
1508922402
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036093775 Issued in IL
Legal business name
FOTI CHRONOPOULOS MD SC
Practice address
5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2394
Phone
(708) 857-7230
Fax
(708) 425-5779
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Foti T Chronopoulos, MDNPI 1881750776
Title
Owner
Phone
(708) 857-7230

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036093775 IL Primary

Addresses

Primary practice location

5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2394

Mailing address

5851 W 95TH St
Suite 400
Oak Lawn, IL 60453-2394
Phone (708) 857-7230

Other identifiers 2

IdentifierTypeStateIssuer
036093775MedicaidIL
21622881OtherILBCBS

Other names 1

  • Women's Care Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000896 IL Part B Supplier - Clinic/Group Practice 2668426651 Receives reassigned benefits from 13 practitioners
Practice locations: Oak Lawn, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1009625Foti Chronopoulos MD SC5851 West 95TH St, Suite 400, Oak Lawn, IL 60453AccreditationJun 15, 2028

National Provider Directory

National Provider Directory

Locations

5851 W 95th St
Ste 400
Oak Lawn, IL 60453
Phone (708) 857-7230

10762 W 167th St
Orland Park, IL 60467
Phone (708) 499-9800

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1508922402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 400",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532394",
            "telephone_number": "708-857-7230",
            "fax_number": "708-425-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST",
            "address_2": "SUITE 400",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532394",
            "telephone_number": "708-857-7230",
            "fax_number": "708-425-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOTI CHRONOPOULOS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CHRONOPOULOS",
        "authorized_official_first_name": "FOTI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-857-7230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036093775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093775",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21622881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.