Chicago Foot & Orthopedic Clinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

016004154 Issued in IL

Legal business name

CHICAGO FOOT & ORTHOPEDIC CLINIC

Practice address

3918 W 63Rd St
Chicago, IL 60629-4604

Phone

(773) 376-7200

Fax

(773) 376-9211

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Amin Mashouf

Title

Administrator

Phone

(773) 376-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1700123734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233513",
            "telephone_number": "773-376-7200",
            "fax_number": "773-376-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294604",
            "telephone_number": "773-376-7200",
            "fax_number": "773-376-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FOOT & ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "MASHOUF",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-376-7200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "016004154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Family Medical Center Inc
• Chicago Family Wellness, SC
• Chicago First Chinese Acupuncture & Medical Center
• Chicago Foot & Ankle Clinic
• Chicago Foot & Ankle Deformity Correction Center, LLC
• Chicago Foot & Orthopedic Clinic, LTD
• Chicago Foot and Ankle PC
• Chicago Foot and Ankle Surgicare, PC
• Chicago Foot Clinic, LTD
• Chicago Foot Health Centers, LLC

• Ambulatory Surgical Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.