Active NPI
Chicago Foot & Ankle Clinic
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
National Provider Identifier
1891040424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004154
- Legal business name
- CHICAGO FOOT & ANKLE CLINIC
- Practice address
- 2801 W Cermak Rd
Chicago, IL 60623-3513 - Phone
- (773) 376-7200
- Fax
- (773) 376-9211
- NPI assigned
- Jul 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawni Moshi
- Title
- Ceo
- Phone
- (773) 376-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004154 | IL | Primary |
Addresses
Primary practice location
2801 W Cermak Rd
Chicago, IL 60623-3513
Mailing address
2801 W Cermak Rd
Chicago, IL 60623-3513
Phone (773) 376-7200
National Provider Directory
National Provider DirectoryLocations
6005 W Cermak Rd
Cicero, IL 60804
Phone (312) 656-5230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chicago, IL
- NPI 1255463576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342656000000",
"number": "1891040424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233513",
"telephone_number": "773-376-7200",
"fax_number": "773-376-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233513",
"telephone_number": "773-376-7200",
"fax_number": "773-376-9211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO FOOT & ANKLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A",
"authorized_official_last_name": "MOSHI",
"authorized_official_first_name": "SHAWNI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-376-7200"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Chicago Family Health Center, Inc.
- Chicago Family Landscaping LLC
- Chicago Family Medical Center Inc
- Chicago Family Wellness, SC
- Chicago First Chinese Acupuncture & Medical Center
- Chicago Foot & Ankle Deformity Correction Center, LLC
- Chicago Foot & Orthopedic Clinic
- Chicago Foot & Orthopedic Clinic, LTD
- Chicago Foot and Ankle PC
- Chicago Foot and Ankle Surgicare, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.