Organization Active NPI

Foot Care Consultants

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1689736985
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT CARE CONSULTANTS
Practice address
5511 1/2 W Montrose
Chicago, IL 60641-1331
Phone
(773) 283-6200
Fax
(773) 283-7578
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Lawrence Marizak, DPM
Title
Partner
Phone
(773) 283-6200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 016003003 IL
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 0160033252 IL
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5511 1/2 W Montrose
Chicago, IL 60641-1331

Mailing address

5511 1/2 W Montrose Ave
Chicago, IL 60641-1331
Phone (773) 283-6200

Other identifiers 2

IdentifierTypeStateIssuer
016003003MedicaidIL
016003252MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100319000506 IL Part B Supplier - Clinic/Group Practice 4688709363 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL
O20200805000181 IL DME Supplier - Physician - Podiatry 4688709363 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

5511 W Montrose Ave
Chicago, IL 60641
Phone (773) 283-6200

Practitioners & affiliated clinicians

Practitioners 3

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1689736985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 1/2 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411331",
            "telephone_number": "773-283-6200",
            "fax_number": "773-283-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 1/2 W MONTROSE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411331",
            "telephone_number": "773-283-6200",
            "fax_number": "773-283-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MARIZAK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-283-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003003",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "0160033252",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003003",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003252",
            "state": "IL"
        }
    ],
    "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 Nov 17, 2011; 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.