NPIMap

Organization Active NPI

Associated Foot Surgeons of Joliet LTD

  • Podiatric Clinic/Center
  • Crest Hill, IL
National Provider Identifier
1528205168
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016-003985 Issued in IL
Legal business name
ASSOCIATED FOOT SURGEONS OF JOLIET LTD
Practice address
2204 Weber Road
Crest Hill, IL 60403
Phone
(815) 725-5211
Fax
(815) 725-4816
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Anthony Easley, D.P.M.
Title
Owner
Phone
(815) 725-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016-003985 IL Primary

Addresses

Primary practice location

2204 Weber Road
Crest Hill, IL 60403

Mailing address

2204 Weber Road
Crest Hill, IL 60403
Phone (815) 725-5211

National Provider Directory

National Provider Directory

Locations

2204 Weber Rd
Crest Hill, IL 60403
Phone (815) 725-5211

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1528205168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 WEBER ROAD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "60403",
            "telephone_number": "815-725-5211",
            "fax_number": "815-725-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WEBER ROAD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "60403",
            "telephone_number": "815-725-5211",
            "fax_number": "815-725-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FOOT SURGEONS OF JOLIET LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-725-5211",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016-003985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.