Organization Active NPI

Familymed Centers PC

  • Foot & Ankle Surgery Podiatrist
  • Cicero, IL
National Provider Identifier
1578610879
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
16004410 Issued in IL
Legal business name
FAMILYMED CENTERS PC
Practice address
5700 W Cermak Rd
Cicero, IL 60804-2128
Phone
(708) 863-6166
NPI assigned
Jan 5, 2007
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Vittorio Caterino, DPMNPI 1710006028
Title
President
Phone
(708) 863-6166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 16004410 IL Primary

Addresses

Primary practice location

5700 W Cermak Rd
Cicero, IL 60804-2128

Mailing address

5700 W Cermak Rd
Cicero, IL 60804-2128
Phone (708) 863-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000754 IL Part B Supplier - Clinic/Group Practice 2163580812 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Cicero, IL

National Provider Directory

National Provider Directory

Locations

4280 S Archer Ave
Chicago, IL 60632
Phone (773) 254-8680

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1578610879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042128",
            "telephone_number": "708-863-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042128",
            "telephone_number": "708-863-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYMED CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "CATERINO",
        "authorized_official_first_name": "VITTORIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-863-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "16004410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.