Advanced Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ADVANCED PODIATRY

Practice address

7355 Archer Ave
Suite D
Summit, IL 60501-1225

Phone

(773) 229-8200

Fax

(773) 229-9752

NPI assigned

Jan 13, 2007

Last updated

Dec 2, 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

Dr. Mark J Gagnon, D.P.M.NPI 1043261282

Title

Owner

Phone

(773) 229-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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.

• Mark James Gagnon, DPM

  • Podiatrist
  • Summit, IL
  • NPI 1043261282
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1881745388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 ARCHER AVE",
            "address_2": "SUITE D",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011225",
            "telephone_number": "773-229-8200",
            "fax_number": "773-229-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 ARCHER AVE",
            "address_2": "SUITE D",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011225",
            "telephone_number": "773-229-8200",
            "fax_number": "773-229-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-229-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Aalders
• Access Community Health Network
• Argo Comm HS Dist 217
• Katie Lynn Banker, BSW
• Beds Plus, Inc.
• Beds Plus, Inc.
• Katarzyna Ceglinski, CPNP

• Foot & Ankle Surgery Podiatrist in Summit, IL
• Providers in Summit, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.