NPIMap

Organization Active NPI

Northern Illinois Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lake in the Hills, IL
National Provider Identifier
1760922504
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005350 Issued in IL
Legal business name
NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS
Practice address
165 N Lakewood Rd
Suite a
Lake in the Hills, IL 60156-5950
Phone
(847) 639-5800
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Dr. Patrick McEneaney, DPM
Title
Owner
Phone
(847) 639-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016005350 IL Primary

Addresses

Primary practice location

165 N Lakewood Rd
Suite a
Lake in the Hills, IL 60156-5950

Mailing address

165 N Lakewood Rd
Suite a
Lake in the Hills, IL 60156-5950
Phone (847) 639-5800

National Provider Directory

National Provider Directory

Locations

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

5600 W Addison St
Lowr 2LL
Chicago, IL 60634
Phone (773) 545-3338

1286 S US Highway 12
Fox Lake, IL 60020

165 N Lakewood Rd
Ste A
Lake in the Hills, IL 60156
Phone (846) 639-5800

Practitioners & affiliated clinicians

Practitioners 12

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": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1760922504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N LAKEWOOD RD",
            "address_2": "SUITE A",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565950",
            "telephone_number": "847-639-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N LAKEWOOD RD",
            "address_2": "SUITE A",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565950",
            "telephone_number": "847-639-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MCENEANEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-639-5800",
        "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": "016005350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.