NPIMap

Organization Active NPI

Foot & Ankle Health Care Center LTD

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1669772992
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004982 Issued in IL
Legal business name
FOOT & ANKLE HEALTH CARE CENTER LTD
Doing business as
European Foot & Ankle Clinic
Practice address
1700 W Chicago Ave
Chicago, IL 60622-5008
Phone
(312) 243-3330
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Galina Podolskiy
Title
D.P.M.
Phone
(773) 205-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016004982 IL Primary

Addresses

Primary practice location

1700 W Chicago Ave
Chicago, IL 60622-5008

Mailing address

5501 W Belmont Ave
Chicago, IL 60641-4130

Other identifiers 1

IdentifierTypeStateIssuer
1659392736MedicaidIL

Other names 1

  • European Foot & Ankle Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
European Foot Ankle Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1669772992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225008",
            "telephone_number": "312-243-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE HEALTH CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "PODOLSKIY",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "773-205-0106"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659392736",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "European Foot & Ankle Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.