Premier Podiatry Services, LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PREMIER PODIATRY SERVICES, LTD

Practice address

7126 N Lincoln Ave
Lincolnwood, IL 60712-2234

Phone

(773) 866-9800

Fax

(773) 866-1733

NPI assigned

Aug 13, 2007

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Daniel Paholak, DPMNPI 1710934955

Title

President

Phone

(773) 866-9800

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL, MI2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Daniel Paholak, DPM

  • Podiatrist
  • Huntington Woods, MI
  • NPI 1710934955

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Benedict O'Keefe Jr., DPM

  • Primary Podiatric Medicine Podiatrist
  • Chicago, IL
  • NPI 1669478640
  Medicare reassignment Care Compare group NPD
• Jay Charles Parsons, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1902816622
  Medicare reassignment Care Compare group NPD
• Brian E Aronson, DPM

  • Podiatrist
  • Chicago, IL
  • NPI 1326112467
  Medicare reassignment NPD
• Neil R Fried, DPM

  • Podiatrist
  • Plainfield, IL
  • NPI 1427060888
  Medicare reassignment NPD
• Kriti Puthenpurakal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naperville, IL
  • NPI 1710319959
  Medicare reassignment NPD
• Brandon Weber, PA-C

  • Physician Assistant
  • Berkley, MI
  • NPI 1760423453
  Medicare reassignment

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1528250669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "773-866-9800",
            "fax_number": "773-866-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "773-866-9800",
            "fax_number": "773-866-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PODIATRY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "PAHOLAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-866-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "1208030001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001623503",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004340",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5410292",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG8029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatric Management Systems LLC (Bradley S Ross DPM)
• Howard S. Pollack, M.S.W
• Rachel Porritt, M.S., CCC-SLP
• Austin Alexander Potrue, DMD
• Precision Therapy
• Premium Home Health Care, Inc.
• Prime Care Home Health Services LLC
• Primecare Home Health Services Inc.
• Frank Joseph Pristera, PHARMD
• Professional Psychiatry Inc.

• Podiatrist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.