Organization Active NPI

Perns Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1801949565
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016002468 Issued in IL
Legal business name
PERNS FOOT AND ANKLE, PC
Practice address
3115 N Harlem Ave
Suite 200
Chicago, IL 60634-4684
Phone
(773) 836-9900
Fax
(773) 836-9935
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Vincent A. Perns, DPM
Title
President
Phone
(773) 836-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 016002468 IL Primary

Addresses

Primary practice location

3115 N Harlem Ave
Suite 200
Chicago, IL 60634-4684

Mailing address

3115 N Harlem Ave
Suite 200
Chicago, IL 60634-4684
Phone (773) 836-9900

Other identifiers 1

IdentifierTypeStateIssuer
016002468MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1801949565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 N HARLEM AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344684",
            "telephone_number": "773-836-9900",
            "fax_number": "773-836-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N HARLEM AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344684",
            "telephone_number": "773-836-9900",
            "fax_number": "773-836-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNS FOOT AND ANKLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "PERNS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-836-9900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016002468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002468",
            "state": "IL"
        }
    ],
    "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 Oct 29, 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.