Active NPI
Amanda Marie Bozich
Doing business as Amanda Bozich DPM
- Foot & Ankle Surgery Podiatrist
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Marie Bozich
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Podiatrist
- Elk Grove Village, IL
- NPI 1538513601
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
- Alliance Pathology Consultants, PLLC
- Nicole Marie Aloisio, E.I.
- Alt-Med Research Group (ALT-MED Medical and Physical Therapy)
- Hamza Alvi
- Muhammad Imran Alvi
- Kevin William Amarantos, OT
- Marvin Amayun, DMD
- American Current Care of Illinois PC (Concentra Urgent Care)
- American Current Care of Illinois PC (Concentra Urgent Care)
- American Current Care of Illinois PC (Concentra Immediate Care)
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.