Organization Active NPI

Podiatric Management Systems LLC

  • Podiatrist
  • Oakbrook Terrace, IL
National Provider Identifier
1881200343
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRIC MANAGEMENT SYSTEMS LLC
Practice address
1 S067 Summit Ave
Oakbrook Terrace, IL 60181
Phone
(630) 261-9500
Fax
(630) 261-9504
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
David Anthony Charnota, DPM
Title
President
Phone
(847) 540-9949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1 S067 Summit Ave
Oakbrook Terrace, IL 60181

Mailing address

70 E Lake St Ste 1102
Chicago, IL 60601-7499
Phone (312) 372-1160

Other names 1

  • Premier Foot & Ankle Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1881200343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017499",
            "telephone_number": "312-372-1160",
            "fax_number": "312-372-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S067 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-261-9500",
            "fax_number": "630-261-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC MANAGEMENT SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "CHARNOTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-540-9949",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.