Montrose Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MONTROSE FOOT AND ANKLE LLC

Practice address

1929 W Montrose Ave
Chicago, IL 60613-1011

Phone

(773) 528-4700

Fax

(773) 529-5392

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Wika K Gomez, DPM

Title

Owner

Phone

(773) 528-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1609017508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131011",
            "telephone_number": "773-528-4700",
            "fax_number": "773-529-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131011",
            "telephone_number": "773-528-4700",
            "fax_number": "773-529-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "WIKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-528-4700",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005228",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Rae Montoya, MSPT, PT
• Montrose Dental Clinic PC
• Montrose Dental Clinic PC
• Montrose Dental Group P.C.
• Montrose Family Dental Center
• Kirstin Montsma
• Priscilla Nwamy Monu, MS,RD,LDN
• Monument Outreach Community Services
• Moody Bible Institute
• Amaris Andriana Moody

• Foot & Ankle Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.