Organization Active NPI

Mag Mile Foot & Ankle Institute LLC

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1841537941
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MAG MILE FOOT & ANKLE INSTITUTE LLC
Practice address
333 N Michigan Ave
Ste 1825
Chicago, IL 60601-3901
Phone
(312) 236-3507
Fax
(312) 332-6137
NPI assigned
Jan 9, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Sadia Hussain
Title
Practice Manager
Phone
(312) 236-3507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

333 N Michigan Ave
Ste 1825
Chicago, IL 60601-3901

Mailing address

333 N Michigan Ave
Ste 1825
Chicago, IL 60601-3901
Phone (312) 236-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130513000490 IL Part B Supplier - Clinic/Group Practice 5193962058 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL
O20140321000449 IL DME Supplier - Physician - Podiatry 5193962058 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

25 E Washington St
Ste 1131
Chicago, IL 60602
Phone (312) 236-3507

333 N Michigan Ave
Ste 1825
Chicago, IL 60601
Phone (312) 236-3507

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1841537941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "STE 1825",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-236-3507",
            "fax_number": "312-332-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "STE 1825",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-236-3507",
            "fax_number": "312-332-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG MILE FOOT & ANKLE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SADIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "312-236-3507"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2013; 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.