Individual provider Active NPI

Hector Santiago, DPM

  • Podiatrist
  • Mount Prospect, IL
National Provider Identifier
1699354308
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016006061 Issued in IL
Practice address
1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019
Phone
(847) 390-7666
NPI assigned
Apr 8, 2021
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016006061 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 100
Mount Prospect, IL 60056-6019

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001993 IL Practitioner - Podiatry 1052856648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1660 Feehanville Dr
Suite 100
Mount Prospect, IL 60056-6019
Phone (847) 627-4924

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of nail tissue64
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016006061ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

10801 S Western Ave
Ste 200
Chicago, IL 60643
Phone (773) 445-3964

10255 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 425-5656

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

18425 West Creek Dr
Ste C
Tinley Park, IL 60477

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1699354308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 100",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566019",
            "telephone_number": "847-390-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "HECTOR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-16",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.