Active NPI
Gina Marie Bakiares DPM, P.C.
- Podiatrist
- Aurora, IL
National Provider Identifier
1659555688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016003316
- Legal business name
- GINA MARIE BAKIARES DPM, P.C.
- Practice address
- 2020 Ogden Ave.
Suite 140
Aurora, IL 60504-6065 - Phone
- (630) 851-1329
- Fax
- (630) 851-8837
- NPI assigned
- Dec 27, 2007
- 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
- Dr. Gina Bakiares, D.P.M.
- Title
- Director
- Phone
- (630) 852-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003316 | IL | Primary |
Addresses
Primary practice location
2020 Ogden Ave.
Suite 140
Aurora, IL 60504-6065
Mailing address
4236 White Birch Dr
Lisle, IL 60532-1251
Phone (630) 852-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016003316 | Medicaid | IL |
Other names 1
- Happy Foot Clinics
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.
-
- Medical Physician Assistant
- Aurora, IL
- NPI 1619018991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1659555688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 WHITE BIRCH DR",
"city": "LISLE",
"state": "IL",
"postal_code": "605321251",
"telephone_number": "630-852-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 OGDEN AVE.",
"address_2": "SUITE 140",
"city": "AURORA",
"state": "IL",
"postal_code": "605046065",
"telephone_number": "630-851-1329",
"fax_number": "630-851-8837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GINA MARIE BAKIARES DPM, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "BAKIARES",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-852-0888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "IL",
"license": "016003316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016003316",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Happy Foot Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.