Active NPI
Foot Works Podiatry LLC
- Podiatric Clinic/Center
- Hazel Crest, IL
National Provider Identifier
1861174815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Legal business name
- FOOT WORKS PODIATRY LLC
- Practice address
- 3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199 - Phone
- (708) 712-2686
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rashonda Jones, DPM
- Title
- Physician
- Phone
- (708) 238-9690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
3330 W 177TH St Ste 3G
Hazel Crest, IL 60429-2199
Mailing address
15205 Dorchester Ave
Dolton, IL 60419-3125
Phone (708) 238-9690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3330 W 177th St
Ste 3G
Hazel Crest, IL 60429
Phone (708) 712-2686
Practitioners & affiliated clinicians
Practitioners 1
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": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1861174815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15205 DORCHESTER AVE",
"city": "DOLTON",
"state": "IL",
"postal_code": "604193125",
"telephone_number": "708-238-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 3G",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292199",
"telephone_number": "708-712-2686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT WORKS PODIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "RASHONDA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-238-9690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.