NPIMap

Organization Active NPI

Naperville Foot and Ankle Specialists PC

  • Foot & Ankle Surgery Podiatrist
  • Naperville, IL
National Provider Identifier
1669703344
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-004798 Issued in IL
Legal business name
NAPERVILLE FOOT AND ANKLE SPECIALISTS PC
Practice address
9S157 Route 59
Naperville, IL 60564-9427
Phone
(630) 904-6666
Fax
(815) 436-8367
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Ms. Michele N Kukulski
Title
Billing Specialist
Phone
(815) 254-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016-004798 IL Primary

Addresses

Primary practice location

9S157 Route 59
Naperville, IL 60564-9427

Mailing address

PO Box 678
Plainfield, IL 60544-0678
Phone (815) 254-3338

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1669703344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440678",
            "telephone_number": "815-254-3338",
            "fax_number": "815-436-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9S157 ROUTE 59",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649427",
            "telephone_number": "630-904-6666",
            "fax_number": "815-436-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "KUKULSKI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "815-254-3338",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.