Lake in the Hills Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LAKE IN THE HILLS PODIATRY PC

Practice address

1441 Merchant Dr
Algonquin, IL 60102-5917

Phone

(847) 458-4600

Fax

(847) 458-4602

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Kristen Peto

Title

Office Manager

Phone

(847) 458-4600

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: ebonaminio282816@direct.myadvocateaurora.org

Practitioners 2

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

• Emo Bonaminio

  • Podiatrist
  • Algonquin, IL
  • NPI 1346256047
  Medicare reassignment NPD
• Eric Baldric Bettag, DPM

  • Podiatrist
  • St Charles, IL
  • NPI 1639192982
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1558376202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-4600",
            "fax_number": "847-458-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-4600",
            "fax_number": "847-458-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE IN THE HILLS PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PETO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-458-4600"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebonaminio282816@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Merchant Dr",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601025917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
            "affiliation": "N",
            "address_1": "1441 Merchant Dr",
            "city": "Algonquin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601025917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Kusch
• Jhoana La Rosa, RN
• Miles J Labno, PHARM.D.
• Robert S H Lai, M.D.
• Lake Barrington Women'S Health Center, PC
• Lakeside Medical Imaging LLC
• Julie Landau-Wise
• Don A Larson, PA-C
• Joseph Lawler
• Cort Daniel Lawton, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.