Organization Active NPI

Louis J. Sanfilippo D.P.M. S.C.

  • Foot & Ankle Surgery Podiatrist
  • Addison, IL
National Provider Identifier
1902072309
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0016-2814 Issued in IL
Legal business name
LOUIS J. SANFILIPPO D.P.M. S.C.
Practice address
1250 W Lake St
Suite 16
Addison, IL 60101-5744
Phone
(630) 543-3000
Fax
(630) 543-5910
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Louis Jerome Sanfilippo, D.P.M.
Title
Owner/President
Phone
(630) 543-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0016-2814 IL Primary

Addresses

Primary practice location

1250 W Lake St
Suite 16
Addison, IL 60101-5744

Mailing address

1250 W Lake St
Suite 16
Addison, IL 60101-5744
Phone (630) 543-3000

National Provider Directory

National Provider Directory

Locations

8515 Grand Ave
River Grove, IL 60171
Phone (312) 343-0583

Practitioners & affiliated clinicians

Practitioners 2

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1902072309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W LAKE ST",
            "address_2": "SUITE 16",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015744",
            "telephone_number": "630-543-3000",
            "fax_number": "630-543-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W LAKE ST",
            "address_2": "SUITE 16",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015744",
            "telephone_number": "630-543-3000",
            "fax_number": "630-543-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J. SANFILIPPO D.P.M. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SANFILIPPO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-543-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "0016-2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.