Organization Active NPI

Chicago Foot & Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1891040424
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004154 Issued in IL
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

Updated by the provider on Jul 19, 2012

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.