Paula Petrucci, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

Practice address

129 Fairfield Way #110
Bloomingdale, IL 60108

Phone

(630) 894-3000

Fax

(630) 894-3050

NPI assigned

Feb 26, 2007

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)

Enrolled

Practice roles

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

• Bloomingdale Foot & Ankle Associates, Inc

  • Podiatrist
  • Bloomingdale, IL
  • NPI 1992959571
  NPD (past)
• Northern Illinois Foot & Ankle Specialists, LTD

  • Podiatric Clinic/Center
  • Bloomingdale, IL
  • NPI 1427854215

  Podiatrist

  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801922315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY #110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-894-3000",
            "fax_number": "630-894-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAIRFIELD WAY #110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-894-3000",
            "fax_number": "630-894-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzy Perez
• Amanda Christine Perrot, APN
• Personnel Assessments Inc.
• Lacey Michelle Peters, M.A., CCC-SLP/L
• Mary Kathryn Peterson, OTR/L
• PHCS Plus Professional Corporation
• Herman Charles Phillips III
• Physician Home Care Services Plus Inc
• Physician Home Care Services, Inc.
• Physiotherapy Associates Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.