Active NPI
Fit Feet Podiatry SC
- Podiatrist
- Chicago, IL
National Provider Identifier
1588070189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016.004994
- Legal business name
- FIT FEET PODIATRY SC
- Practice address
- 2400 N Lakeview Ave
Chicago, IL 60614-2747 - Phone
- (773) 952-0684
- Fax
- (888) 668-6550
- NPI assigned
- Jul 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Moeed Ekbal, DPM
- Title
- Owner
- Phone
- (773) 952-0684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016.004994 | IL | Primary |
Addresses
Primary practice location
2400 N Lakeview Ave
Chicago, IL 60614-2747
Mailing address
2400 N Lakeview Ave
Chicago, IL 60614-2747
Phone (773) 952-0684
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1588070189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N LAKEVIEW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142747",
"telephone_number": "773-952-0684",
"fax_number": "888-668-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N LAKEVIEW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142747",
"telephone_number": "773-952-0684",
"fax_number": "888-668-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT FEET PODIATRY SC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "EKBAL",
"authorized_official_first_name": "MOEED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-952-0684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "IL",
"license": "016.004994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.