Organization Active NPI

Foot & Ankle Pain Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Hazel Crest, IL
National Provider Identifier
1598954471
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT & ANKLE PAIN SPECIALISTS LLC
Practice address
17500 E Carriageway Dr
Suite a
Hazel Crest, IL 60429-2057
Phone
(708) 957-3338
Fax
(708) 957-4555
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Stephanie E Spicer, DPMNPI 1578593398
Title
Owner
Phone
(708) 957-3338

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

17500 E Carriageway Dr
Suite a
Hazel Crest, IL 60429-2057

Mailing address

17500 E Carriageway Dr
Suite a
Hazel Crest, IL 60429-2057
Phone (708) 957-3338

National Provider Directory

National Provider Directory

Locations

17500 E Carriageway Dr
Ste A
Hazel Crest, IL 60429
Phone (708) 957-3338

3330 W 177th St
Ste 2D1
Hazel Crest, IL 60429
Phone (708) 957-3338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1598954471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 E CARRIAGEWAY DR",
            "address_2": "SUITE A",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292057",
            "telephone_number": "708-957-3338",
            "fax_number": "708-957-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 E CARRIAGEWAY DR",
            "address_2": "SUITE A",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292057",
            "telephone_number": "708-957-3338",
            "fax_number": "708-957-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-957-3338",
        "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 Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.