Advanced Podiatry Clinics LTD

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005409 Issued in IL

Legal business name

ADVANCED PODIATRY CLINICS LTD

Practice address

1835 N 19TH Ave
Suite 102
Melrose Park, IL 60160-2040

Phone

(708) 450-0705

Fax

(708) 345-0423

NPI assigned

Jul 27, 2011

Last updated

Dec 10, 2013By 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

Dr. Igor Dukarevich, DPMNPI 1538326426

Title

Medical Director

Phone

(708) 450-0705

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Igor Dukarevich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Melrose Park, IL
  • NPI 1538326426
  Authorized official Same address or phone

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1619255452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 102",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-450-0705",
            "fax_number": "708-345-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 102",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-450-0705",
            "fax_number": "708-345-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY CLINICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "DUKAREVICH",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-450-0705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maha Abboud, MD FACE
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Access Community Health Network
• Melanie Anne Adamsky, M.D.
• Adiron Dialysis LLC (Melrose Park Dialysis)
• Advanced Wellness Clinics
• Aganad Medical Group, S.C.
• Agape Home Caregivers, Inc.
• Alexandra Aguayo, MA
• Bernie M. Aguilar

• Podiatrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.