Organization Active NPI

Fit Feet Podiatry SC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1588070189
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.004994 Issued in IL
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

Updated by the provider on Jul 22, 2014

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.