Active NPI
Podiatric Management Systems LLC
Doing business as Suburban Podiatry
- Podiatrist
- Bloomingdale, IL
National Provider Identifier
1639785314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PODIATRIC MANAGEMENT SYSTEMS LLC
- Doing business as
- Suburban Podiatry
- Practice address
- 303 E Army Trail Rd
Bloomingdale, IL 60108-2169 - Phone
- (630) 893-3668
- Fax
- (630) 893-3670
- NPI assigned
- Sep 18, 2020
- Last updated
- Sep 18, 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
- David Anthony Charnota, DPM
- Title
- President
- Phone
- (847) 540-9949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
303 E Army Trail Rd
Bloomingdale, IL 60108-2169
Mailing address
70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160
Other names 1
- Suburban Podiatry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Lake Zurich, IL
- NPI 1205848975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1639785314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E LAKE ST STE 1102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017499",
"telephone_number": "312-372-1160",
"fax_number": "312-372-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ARMY TRAIL RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082169",
"telephone_number": "630-893-3668",
"fax_number": "630-893-3670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "CHARNOTA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-540-9949",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suburban Podiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.