Asg Onsite Podiatry of TX 1 PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ASG ONSITE PODIATRY OF TX 1 PC

Practice address

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728

Phone

(773) 770-0140

Fax

(312) 277-6757

NPI assigned

Oct 10, 2012

Last updated

May 17, 2013By 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

Yev Gray, DPMNPI 1821006396

Title

Owner

Phone

(773) 770-0140

Specialties & licenses 1

Addresses

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.

• Yev Gray, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1821006396
  Authorized official Same address or phone

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1891047163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASG ONSITE PODIATRY OF TX 1 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "YEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.