Individual provider Active NPI

Targol Christie Esmaili, BS, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1689098766
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.005696 Issued in IL
Practice address
1229 N North Branch St
Ste 308
Chicago, IL 60642-2496
Phone
(312) 255-8030
Fax
(847) 789-7202
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P88854 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005696 IL Primary

Addresses

Primary practice location

1229 N North Branch St
Ste 308
Chicago, IL 60642-2496

Mailing address

1229 N North Branch St
Suite 308
Chicago, IL 60642-2473
Phone (312) 255-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
016.005696ILMDFoot & Ankle Surgery Podiatrist
P88854NYMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1689098766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N NORTH BRANCH ST",
            "address_2": "SUITE 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422473",
            "telephone_number": "312-255-8030",
            "fax_number": "847-789-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N NORTH BRANCH ST",
            "address_2": "STE 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422496",
            "telephone_number": "312-255-8030",
            "fax_number": "847-789-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAILI",
        "first_name": "TARGOL",
        "middle_name": "CHRISTIE",
        "name_prefix": "Dr.",
        "credential": "BS, DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "P88854",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2016; 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.