Organization Active NPI

Midwest Foot Care, LTD.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1679617302
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
060004861 Issued in IL
Legal business name
MIDWEST FOOT CARE, LTD.
Practice address
533 E 29TH
First Floor
Chicago, IL 60616-3302
Phone
(312) 226-5376
Fax
(312) 226-9882
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mrs. Melodie G Kern
Title
Cfo
Phone
(773) 924-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 060004861 IL Primary

Addresses

Primary practice location

533 E 29TH
First Floor
Chicago, IL 60616-3302

Mailing address

PO Box 5843
Chicago, IL 60680-5843
Phone (773) 924-0262

Other identifiers 1

IdentifierTypeStateIssuer
0060001401OtherILBLUE CROSS

Other names 1

  • Kern Podiatric Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324001055 IL Part B Supplier - Clinic/Group Practice 3072569722 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1679617302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5843",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606805843",
            "telephone_number": "773-924-0262",
            "fax_number": "773-924-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E 29TH",
            "address_2": "FIRST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163302",
            "telephone_number": "312-226-5376",
            "fax_number": "312-226-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST FOOT CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-924-0262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060004861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0060001401",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kern Podiatric Group",
            "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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.