Podiatry & Sports Medicine Associates P.C.
Organization Active NPI Podiatrist · Park City, IL
NPI 1831385574 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1831385574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016004452 (IL)
- Legal business name
- PODIATRY & SPORTS MEDICINE ASSOCIATES P.C.
- Practice address
- 351 S Greenleaf St
Suite C
Park City, IL 60085-5725 - Phone
- (847) 263-6073
- Fax
- (847) 244-7323
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Lisa M Schoene
- Title
- Direct Owner
- Phone
- (847) 263-6073
Practitioners 6
-
Bruce A Bever, DPM
-
Sonu Joseph, DPM
-
Lisa M Schoene, DPM
-
Erin M Smielewski, DPM
-
Peta Minerof-Bartos, LPC
-
Andrea Luisa Peach, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000028 | IL | Part B Supplier - Clinic/Group Practice | 2264495365 |
Receives reassigned benefits from 4 practitioners Practice locations: Park City, IL |
| O20101014001437 | IL | DME Supplier - Physician - Podiatry | 2264495365 | Practice locations: Park City, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | 016004452 | IL | Yes |
Addresses
Primary practice location
351 S Greenleaf St
Suite C
Park City, IL 60085-5725
Mailing address
351 S Greenleaf St
Suite C
Park City, IL 60085-5725
Phone (847) 263-6073
Other names
- LISA M. SCHOENE DPM PC
Other providers in Park City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.