Hmi Foot and Ankle Group, SC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005301 Issued in IL

Legal business name

HMI FOOT AND ANKLE GROUP, SC

Practice address

19255 Everett LN
Suite B
Mokena, IL 60448-8958

Phone

(630) 656-3171

Fax

(630) 657-0131

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Haytham Mansour, DPM, PHDNPI 1811078207

Title

Podiatrist

Phone

(630) 656-3171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Haytham Mansour, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mokena, IL
  • NPI 1811078207
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1740518307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601480711",
            "telephone_number": "630-656-3171",
            "fax_number": "630-657-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 EVERETT LN",
            "address_2": "SUITE B",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488958",
            "telephone_number": "630-656-3171",
            "fax_number": "630-657-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMI FOOT AND ANKLE GROUP, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "630-656-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, PHD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hill-Rom Company, Inc.
• Paula K. Hinds, OTR
• Kelly J Hines, NP
• Raymond E Hines III, PA-C
• Loai Hishmeh
• Alexandra Hoffman
• Lauren Hogue, OTD, OTR/L
• Melissa Holmes, RSA
• Home Health Agency Illinois, LLC
• Paul A Homerding, DDS

• Foot & Ankle Surgery Podiatrist in Mokena, IL
• Providers in Mokena, 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 Nov 11, 2015; 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.