Organization Active NPI

Oswego Foot & Ankle Specialists, PC

  • Foot & Ankle Surgery Podiatrist
  • Montgomery, IL
National Provider Identifier
1700348539
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OSWEGO FOOT & ANKLE SPECIALISTS, PC
Practice address
1851 Douglas Rd
Montgomery, IL 60538-2159
Phone
(630) 892-0000
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Praveen Vohra, DPM
Title
Owner
Phone
(630) 892-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1851 Douglas Rd
Montgomery, IL 60538-2159

Mailing address

1851 Douglas Rd
Montgomery, IL 60538-2159

National Provider Directory

National Provider Directory

Locations

24039 W Lockport St
Plainfield, IL 60544
Phone (815) 254-3338

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1700348539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 DOUGLAS RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382159",
            "telephone_number": "630-892-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO FOOT & ANKLE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "VOHRA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-892-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.