Organization Active NPI

American Foot Care Center

  • Podiatric Clinic/Center
  • Homewood, IL
National Provider Identifier
1871820381
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016-004735 Issued in IL
Legal business name
AMERICAN FOOT CARE CENTER
Practice address
1757 Ridge Rd
Suite 102
Homewood, IL 60430-1812
Phone
(708) 799-7500
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Timothy Todd Horak, DPMNPI 1922012046
Title
President
Phone
(708) 799-7500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016-004735 IL Primary
Podiatric Clinic/Center 261QP1100X 016-004714 IL

Addresses

Primary practice location

1757 Ridge Rd
Suite 102
Homewood, IL 60430-1812

Mailing address

1757 Ridge Rd
Suite 102
Homewood, IL 60430-1812
Phone (708) 799-7500

National Provider Directory

National Provider Directory
Tax ID family
American Foot Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1757 Ridge Rd
Ste 102
Homewood, IL 60430
Phone (708) 798-7500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1871820381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "address_2": "SUITE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 RIDGE RD",
            "address_2": "SUITE 102",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301812",
            "telephone_number": "708-799-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FOOT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "HORAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-799-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016-004735",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016-004714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.