Organization Active NPI

Chicago Podiatric Surgeons, PC

  • Podiatric Clinic/Center
  • Elgin, IL
National Provider Identifier
1669898326
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016004401 Issued in IL
Legal business name
CHICAGO PODIATRIC SURGEONS, PC
Practice address
1590 Weatherstone LN
Elgin, IL 60123-2059
Phone
(312) 337-9900
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Thomas Carr, DPM
Title
Ceo
Phone
(312) 337-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016004401 IL Primary

Addresses

Primary practice location

1590 Weatherstone LN
Elgin, IL 60123-2059

Mailing address

467 W Erie St
Chicago, IL 60654-5704
Phone (312) 337-9900

National Provider Directory

National Provider Directory

Locations

2800 N Sheridan Rd
Ste 202
Chicago, IL 60657
Phone (773) 975-9929

800 Austin St
Ste 166
Evanston, IL 60202
Phone (630) 632-0746

Practitioners & affiliated clinicians

Practitioners 2

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": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1669898326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-337-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WEATHERSTONE LN",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232059",
            "telephone_number": "312-337-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PODIATRIC SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-337-9900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016004401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.