Organization Active NPI

Amanda Marie Bozich

Doing business as Amanda Bozich DPM

  • Foot & Ankle Surgery Podiatrist
  • Elk Grove Village, IL
National Provider Identifier
1770135485
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
AMANDA MARIE BOZICH
Doing business as
Amanda Bozich DPM
Practice address
800 Biesterfield Rd Ste 207
Elk Grove Village, IL 60007-3378
Phone
(847) 228-6543
NPI assigned
Jul 12, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Amanda Marie BozichNPI 1538513601
Title
Owner
Phone
(847) 228-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste 207
Elk Grove Village, IL 60007-3378

Mailing address

800 Biesterfield Rd Ste 207
Elk Grove Village, IL 60007-3378
Phone (847) 228-6543

Other names 1

  • AMANDA BOZICH DPM Doing business as

National Provider Directory

National Provider Directory

Locations

800 Biesterfield Rd
Ste 207
Elk Grove Vlg, IL 60007
Phone (816) 673-3522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1770135485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-228-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-228-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA MARIE BOZICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "BOZICH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-228-6543"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMANDA BOZICH DPM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMANDA BOZICH DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.