Carol Fogarty, CRNFA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0411688853 Issued in IL

Practice address

11757 Southwest Hwy
Palos Heights, IL 60463-1015

Phone

(708) 361-3930

Fax

(708) 361-7969

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southside Orthopaedics P.C.

  dba dba HEIGHTS PHYSICAL THERAPY

  • Specialist
  • Palos Heights, IL
  • NPI 1447376140
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1770891384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11757 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631015",
            "telephone_number": "708-361-3930",
            "fax_number": "708-361-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11757 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631015",
            "telephone_number": "708-361-3930",
            "fax_number": "708-361-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "0411688853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Fitz, MD
• Kathleen Ann Fitzgerald Conerty, RPH
• Brenda Fitzgerald
• FJ Wall MD & William J Ruff MD
• Darlene C Flowers, APRN, CNP
• Sean Forte, DO
• Nancy Foster
• Alexandria Fotopoulos
• Daniel A Frankel, M.D.
• Linda Marie Friel, SLP

• Registered Nurse in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.