Individual provider Active NPI

Olga Aronoff, DPM

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1528078243
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004875 Issued in IL
Practice address
5600 N Sheridan Rd
Suite 3
Chicago, IL 60660-4877
Phone
(773) 769-3310
Fax
(773) 769-3398
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004875 IL Primary

Addresses

Primary practice location

5600 N Sheridan Rd
Suite 3
Chicago, IL 60660-4877

Mailing address

5600 N Sheridan Rd
Suite 3
Chicago, IL 60660-4877
Phone (773) 769-3310

Other identifiers 1

IdentifierTypeStateIssuer
016004875MedicaidIL

Other names 1

  • Olga Radovskaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004875ILMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528078243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N SHERIDAN RD",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604877",
            "telephone_number": "773-769-3310",
            "fax_number": "773-769-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 N SHERIDAN RD",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604877",
            "telephone_number": "773-769-3310",
            "fax_number": "773-769-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONOFF",
        "first_name": "OLGA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004875",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "RADOVSKAYA",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.