Willow Falls Podiatry

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

016003971 Issued in IL

Legal business name

WILLOW FALLS PODIATRY

Practice address

16151 Weber Rd
Suite 107
Crest Hill, IL 60403-0863

Phone

(815) 838-0282

Fax

(815) 230-0036

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Carolyn Whitfield, DPM

Title

Podiatrist

Phone

(603) 390-9810

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1730498627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SUNCREST LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903278",
            "telephone_number": "815-838-0282",
            "fax_number": "815-230-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 107",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-838-0282",
            "fax_number": "815-230-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW FALLS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "603-390-9810",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016003971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0060001542",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Whitfield, DPM
• Will County Chiropractic & Rehab Center, LLC
• Will County Health & Wellness Center SC
• Will County Health and Wellness
• Willow Falls Al Operations LLC
• Krzysztof Wojtanek
• Denitta A Woods
• Lisa Lynn Worthley, DDS
• Carie Wright, PTA
• Cynthia M Yarshen, DO

• Primary Podiatric Medicine Podiatrist in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Primary Podiatric Medicine Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.