Organization Active NPI

Foot and Ankle Treatment Center of Chicago, LLC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1740340330
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0156005182 Issued in IL
Legal business name
FOOT AND ANKLE TREATMENT CENTER OF CHICAGO, LLC
Practice address
467 W Erie St
Chicago, IL 60654-5704
Phone
(312) 943-7246
Fax
(312) 944-7246
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Joshua Hedman, DPM
Title
Physician
Phone
(312) 943-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0156005182 IL Primary

Addresses

Primary practice location

467 W Erie St
Chicago, IL 60654-5704

Mailing address

467 W Erie St
Chicago, IL 60654-5704
Phone (312) 943-7246

National Provider Directory

National Provider Directory

Locations

10114 Huebner Rd
San Antonio, TX 78240
Phone (210) 477-3668

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1740340330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-943-7246",
            "fax_number": "312-944-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 W ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545704",
            "telephone_number": "312-943-7246",
            "fax_number": "312-944-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE TREATMENT CENTER OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "HEDMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-943-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "0156005182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.