Tucker Foot and Ankle LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005551 Issued in IL

Legal business name

TUCKER FOOT AND ANKLE LLC

Practice address

4808 Sunset LN
Country Club Hills, IL 60478-4574

Phone

(847) 775-9151

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Annell Sarah Tucker, DPM

Title

Owner/Podiatrist

Phone

(847) 775-9151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1881043156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 SUNSET LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784574",
            "telephone_number": "847-775-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 SUNSET LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784574",
            "telephone_number": "847-775-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ANNELL",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "847-775-9151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.