Organization Active NPI

Midwest Foot and Ankle Center, PC

  • Foot & Ankle Surgery Podiatrist
  • Darien, IL
National Provider Identifier
1649322207
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005030 Issued in IL
Legal business name
MIDWEST FOOT AND ANKLE CENTER, PC
Practice address
8310 Lemont Rd
Darien, IL 60561-1510
Phone
(630) 218-0014
Fax
(630) 515-0014
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Ruth Songco-CHI, DPMNPI 1558337303
Title
President
Phone
(630) 218-0014

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 016-005222 IL
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 016-005030 IL Primary

Addresses

Primary practice location

8310 Lemont Rd
Darien, IL 60561-1510

Mailing address

8310 Lemont Rd
Darien, IL 60561-1510
Phone (630) 218-0014

Other practice location 1

167 N Marion St
Oak Park, IL 60301-1032
Phone (708) 383-5554

Other practice location 2

1167 E Algonquin Rd Ste 1
Des Plaines, IL 60016-6325
Phone (847) 789-7714

Other identifiers 6

IdentifierTypeStateIssuer
016-005030MedicaidIL
1558337303OtherNPI
1699744060OtherNPI
016005030MedicaidIL
016005222MedicaidIL
016-005222MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070403000151 IL Part B Supplier - Clinic/Group Practice 2860596764 Receives reassigned benefits from 3 practitioners
Practice locations: Darien, IL; Oak Park, IL; Des Plaines, IL
O20130521000316 IL DME Supplier - Physician - Podiatry 2860596764 Practice locations: Darien, IL

National Provider Directory

National Provider Directory

Locations

1450 Plainfield Rd
Ste 6
Darien, IL 60561
Phone (630) 218-0014

8310 Lemont Rd
Darien, IL 60561
Phone (630) 218-0014

1167 E Algonquin Rd
Ste 1
Des Plaines, IL 60016
Phone (847) 789-7714

1167 E Algonquin Rd
Des Plaines, IL 60016
Phone (847) 789-7714

2605 W 22nd St
Ste 32
Oak Brook, IL 60523
Phone (630) 218-0014

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1649322207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 LEMONT RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-218-0014",
            "fax_number": "630-515-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 LEMONT RD",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-218-0014",
            "fax_number": "630-515-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 N Marion St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011032",
            "country_code": "US",
            "telephone_number": "708-383-5554",
            "fax_number": "708-383-9321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 E Algonquin Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600166325",
            "country_code": "US",
            "telephone_number": "847-789-7714",
            "fax_number": "224-567-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST FOOT AND ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SONGCO-CHI",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-218-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005222",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-005030",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558337303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699744060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005030",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005222",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-005222",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.