Organization Active NPI

Jill H. Austin, DPM

  • Podiatric Clinic/Center
  • Oak Forest, IL
National Provider Identifier
1669650479
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016-004325 Issued in IL
Legal business name
JILL H. AUSTIN, DPM
Practice address
14810 Cicero Ave
Suite 1D
Oak Forest, IL 60452-1400
Phone
(708) 535-0360
Fax
(708) 535-3091
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Jill Austin, D.P.M.NPI 1730164047
Title
Podiatrist, Sole Proprietor
Phone
(708) 535-0360

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016-004325 IL Primary

Addresses

Primary practice location

14810 Cicero Ave
Suite 1D
Oak Forest, IL 60452-1400

Mailing address

14810 Cicero Ave
Suite 1D
Oak Forest, IL 60452-1400
Phone (708) 535-0360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1669650479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE",
            "address_2": "SUITE 1D",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521400",
            "telephone_number": "708-535-0360",
            "fax_number": "708-535-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE",
            "address_2": "SUITE 1D",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521400",
            "telephone_number": "708-535-0360",
            "fax_number": "708-535-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL H. AUSTIN, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PODIATRIST, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "708-535-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016-004325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.