Associated Foot and Ankle Clinics, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

060007405 Issued in IL

Legal business name

ASSOCIATED FOOT AND ANKLE CLINICS, PC

Practice address

301 E Hickory St
Suite 2
Streator, IL 61364-2287

Phone

(815) 672-0280

NPI assigned

Apr 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Daniel N Benoit, DPMNPI 1124016100

Title

Corporation President

Phone

(815) 672-0280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Associated Foot and Ankle Clinics, PC

  • Podiatrist
  • Bourbonnais, IL
  • NPI 1295723435

  5193744845

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Associated Foot and Ankle Clinics, PC

  • Podiatrist
  • Bourbonnais, IL
  • NPI 1295723435

  O20051111000097

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel N Benoit, DPM

  • Podiatrist
  • Bourbonnais, IL
  • NPI 1124016100
  Medicare reassignment Care Compare group NPD Authorized official
• Amy L Wiesch, DPM

  • Podiatrist
  • Bourbonnais, IL
  • NPI 1396733549
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1730323817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E HICKORY ST",
            "address_2": "SUITE 2",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642287",
            "telephone_number": "815-672-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E HICKORY ST",
            "address_2": "SUITE 2",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642287",
            "telephone_number": "815-672-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FOOT AND ANKLE CLINICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "815-672-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ainsley
• Anesthesia Associates of Streator SC
• Anesthesia Pain Services LLC
• Arc at Streator LLC (Arc at Streator)
• Arc at Streator LLC (Arc at Streator)
• Jasmin Sierra Bailey, DPT
• Bartoli Chiropractic Center, LTD
• James Jerome Beagle, DDS
• Darcy L. Beals, M.S., CCC-A
• Michael A Bellino, DPT

• Podiatrist in Streator, IL
• Providers in Streator, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.