Prpodiatry, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

Legal business name

PRPODIATRY, LLC

Practice address

433 W Briar PL
Unit 7B
Chicago, IL 60657-4752

Phone

(847) 275-8375

NPI assigned

May 11, 2011

Last updated

May 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Rubin, DPMNPI 1568626554

Title

Owner

Phone

(847) 275-8375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen S Rubin, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1568626554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1710279641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W BRIAR PL",
            "address_2": "UNIT 7B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574752",
            "telephone_number": "847-275-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W BRIAR PL",
            "address_2": "UNIT 7B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574752",
            "telephone_number": "847-275-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRPODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-275-8375",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Skye Province
• Costa Provis, L.C.P.C.
• Lisa Tamar Provorny, L.C.P.C.
• Lucja Prowinska, DT
• Joshua Daniel Prozialeck
• Madilynn Prude
• Prudence L. Gourguechon, M.D. S.C.
• Tomas Mauricio Prudencio
• Prudent Alliance for Healthcare, LLC
• Jenny Prudhomme

• Foot Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.