NPIMap

Organization Active NPI

St James Hospital US Catholic Conference

Doing business as St James Podiatry

  • Podiatrist
  • Olympia Fields, IL
National Provider Identifier
1861705303
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004111 Issued in IL
Legal business name
ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Doing business as
St James Podiatry
Practice address
20201 Crawford Ave
Suite 1403
Olympia Fields, IL 60461-1010
Phone
(708) 755-3348
Fax
(708) 679-2260
NPI assigned
Jul 26, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mrs. Deanna Marie Bass
Title
Account Respresentative
Phone
(708) 755-3348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004111 IL Primary

Addresses

Primary practice location

20201 Crawford Ave
Suite 1403
Olympia Fields, IL 60461-1010

Mailing address

30 E 15TH St
Suite 406
Chicago Heights, IL 60411-3459
Phone (708) 755-3348

Other names 1

  • ST JAMES PODIATRY Doing business as

National Provider Directory

National Provider Directory

Locations

11146 Front St
Mokena, IL 60448

20201 Crawford Ave
Ste 1403
Olympia Fields, IL 60461
Phone (708) 679-2130

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1861705303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "address_2": "SUITE 406",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-755-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "SUITE 1403",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-755-3348",
            "fax_number": "708-679-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HOSPITAL US CATHOLIC CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ACCOUNT RESPRESENTATIVE",
        "authorized_official_telephone_number": "708-755-3348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JAMES PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.