Organization Active NPI

Precision Foot Surgeons, LLC

  • Foot & Ankle Surgery Podiatrist
  • River Forest, IL
National Provider Identifier
1528434396
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005105 Issued in IL
Legal business name
PRECISION FOOT SURGEONS, LLC
Practice address
7319 W. North Avenue
River Forest, IL 60305-1220
Phone
(708) 689-8150
Fax
(708) 689-8465
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Tae-Jun Ahn, MD
Title
Owner
Phone
(708) 689-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016005105 IL Primary

Addresses

Primary practice location

7319 W. North Avenue
River Forest, IL 60305-1220

Mailing address

7319 W. North Avenue
River Forest, IL 60305-1220
Phone (708) 689-8150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1528434396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 W. NORTH AVENUE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051220",
            "telephone_number": "708-689-8150",
            "fax_number": "708-689-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 W. NORTH AVENUE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051220",
            "telephone_number": "708-689-8150",
            "fax_number": "708-689-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FOOT SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "TAE-JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-689-8150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.