Progressive Foot and Ankle Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

16004956 Issued in IL

Legal business name

PROGRESSIVE FOOT AND ANKLE CENTER, LLC

Practice address

1430 N Arlington Heights Rd
110
Arlington Heights, IL 60004-4830

Phone

(847) 255-4480

Fax

(847) 255-4487

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lynette Mahoney, D.P.M.

Title

Owner

Phone

(847) 255-4480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831268887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "110",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-4480",
            "fax_number": "847-255-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "110",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-4480",
            "fax_number": "847-255-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-255-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "16004956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Arlington Heights, IL
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• Foot & Ankle Surgery Podiatrist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.