Chicago Podiatric Surgeons PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

16005134 Issued in IL

Legal business name

CHICAGO PODIATRIC SURGEONS PC

Practice address

467 W Erie St
Chicago, IL 60654-5704

Phone

(312) 337-9900

Fax

(312) 337-9902

NPI assigned

Sep 8, 2005

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen Carr

Title

Practice Manager

Phone

(312) 337-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12152/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1588658256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9900",
            "fax_number": "312-337-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9900",
            "fax_number": "312-337-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PODIATRIC SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "312-337-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "16005134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60010789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Personal Growth Institute
• Chicago Physical Therapy & Rehabilitation
• Chicago Physical Therapy & Rehabilitation Center, Inc.
• Chicago Physician Associates,LLC
• Chicago Physician Services, P.C.
• Chicago Podiatry Services, P.C. (Chatham Foot Specialists)
• Chicago Podiatry Surgicore, LTD.
• Chicago Polyclinic LLC (Devon Poly Clinic)
• Chicago Practice in Psychology
• Chicago Pride Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.