NPIMap

Organization Active NPI

Chicago Foot Health Centers, LLC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1801980255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CHICAGO FOOT HEALTH CENTERS, LLC
Practice address
3000 N. Halsted
301
Chicago, IL 60657
Phone
(773) 296-7160
Fax
(773) 296-3440
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Kiely, DPMNPI 1477552677
Title
Podiatrist
Phone
(773) 296-7160

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
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

3000 N. Halsted
301
Chicago, IL 60657

Mailing address

3000 N. Halsted
301
Chicago, IL 60657
Phone (773) 296-7160

Other identifiers 1

IdentifierTypeStateIssuer
1623520OtherILBCBS 1623520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000603 IL Part B Supplier - Clinic/Group Practice 4486558640 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL; Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

3000 N Halsted St
Ste 604
Chicago, IL 60657
Phone (773) 296-7160

17051 Harlem Ave
Tinley Park, IL 60477
Phone (312) 384-6767

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801980255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N. HALSTED",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-296-7160",
            "fax_number": "773-296-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N. HALSTED",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-296-7160",
            "fax_number": "773-296-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO FOOT HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "773-296-7160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS 1623520",
            "identifier": "1623520",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.