Mercado Foot and Ankle Clinics South

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004482 Issued in IL

Legal business name

MERCADO FOOT AND ANKLE CLINICS SOUTH

Practice address

3245 Grove Ave
Suite 106
Berwyn, IL 60402-3474

Phone

(708) 484-3599

Fax

(708) 749-0727

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia M. Mercado-Ciessau, DPM

Title

Podiatrist/Owner

Phone

(708) 484-3599

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia M Mercado

  • Foot & Ankle Surgery Podiatrist
  • Berwyn, IL
  • NPI 1760588891
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1790783736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "address_2": "SUITE 106",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "address_2": "SUITE 106",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474",
            "telephone_number": "708-484-3599",
            "fax_number": "708-749-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO FOOT AND ANKLE CLINICS SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MERCADO-CIESSAU",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "708-484-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004482",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcel Melo
• Steven A Menhennett, M.D.
• Sarah Mennella, MD
• Edgar Meraz, MA
• Mercado Foot and Ankle Clinics
• Cynthia M Mercado
• Alina Merrill, DO
• Amelia M Merz, MD
• Chanel Mesch, FNP
• Jennifer Mesick

• Podiatrist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.