Advanced Podiatric Surgical Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED PODIATRIC SURGICAL SERVICES LLC

Practice address

1200 N Green Bay Rd
Waukegan, IL 60085-2246

Phone

(847) 249-3338

Fax

(847) 249-8218

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Chulengarian, DPMNPI 1083615371

Title

Sole Owner

Phone

(847) 249-3338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jack Robert Chulengarian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waukegan, IL
  • NPI 1083615371
  Authorized official Same address or phone

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1871722918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852246",
            "telephone_number": "847-249-3338",
            "fax_number": "847-249-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852246",
            "telephone_number": "847-249-3338",
            "fax_number": "847-249-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRIC SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "CHULENGARIAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "847-249-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markell Demar Adams
• Miranda Adams, MA
• Admiral Home Health Inc.
• Advanced Orthopedic & Sports Injury Center, LTD.
• Advanced Podiatric Surgery Services
• Affordable Dentures & Implants - Illinois, PLLC (Affordable Dentures & Implants - Waukegan)
• Shweta Agarwal, NP
• Jacqueline Aguilar, RN
• Walter Aguilar
• Sana Shireen Ahmed, M.D.

• Ambulatory Surgical Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.