Windy City Foot & Ankle Physicians, LLC.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005074 Issued in IL

Legal business name

WINDY CITY FOOT & ANKLE PHYSICIANS, LLC.

Practice address

111 N Wabash Avenue
Suite 1919
Chicago, IL 60602-2002

Phone

(312) 977-1179

Fax

(312) 977-0425

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Chin, D.P.M.NPI 1407924921

Title

President & Ceo

Phone

(312) 977-1179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Michael J. Chin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1407924921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1740365360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1919",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022002",
            "telephone_number": "312-977-1179",
            "fax_number": "312-977-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVENUE",
            "address_2": "SUITE 1919",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022002",
            "telephone_number": "312-977-1179",
            "fax_number": "312-977-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY FOOT & ANKLE PHYSICIANS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "312-977-1179",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Windy City Orthodontics, LTD.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.