Active NPI
Northern Illinois Foot & Ankle Specialists, LTD
- Foot & Ankle Surgery Podiatrist
- Geneva, IL
National Provider Identifier
1598367609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD
- Practice address
- 2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577 - Phone
- (847) 639-5800
- Fax
- (630) 385-0758
- NPI assigned
- Nov 12, 2020
- 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
- Patrick Allen McEneaney, DPM
- Title
- Owner
- Phone
- (847) 639-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2401 Kaneville Rd Ste 6
Geneva, IL 60134-2577
Mailing address
750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (847) 639-5800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1598367609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E TERRA COTTA AVE STE C",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143621",
"telephone_number": "847-639-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 KANEVILLE RD STE 6",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342577",
"telephone_number": "847-639-5800",
"fax_number": "630-385-0758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "MCENEANEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-639-5800",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.