Organization Active NPI

G3 Medical LLC

  • Podiatric Clinic/Center
  • Chicago, IL
National Provider Identifier
1790399509
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
G3 MEDICAL LLC
Practice address
8751 S Greenwood Ave Ste 100
Chicago, IL 60619-7051
Phone
(773) 967-4270
NPI assigned
Aug 31, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Mr. Nathaniel Vernon George, DPMNPI 1154784486
Title
Owner
Phone
(419) 320-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

8751 S Greenwood Ave Ste 100
Chicago, IL 60619-7051

Mailing address

5 E 14TH PL Apt 1401
Chicago, IL 60605-2931
Phone (419) 320-0229

National Provider Directory

National Provider Directory

Locations

2320 E 93rd St
Fl 5
Chicago, IL 60617
Phone (773) 967-4270

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": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1790399509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 14TH PL APT 1401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052931",
            "telephone_number": "419-320-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 S GREENWOOD AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197051",
            "telephone_number": "773-967-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G3 MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-320-0229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.