Organization Active NPI

Holt Health Care Management Services Inc.

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1902084908
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004690 Issued in IL
Legal business name
HOLT HEALTH CARE MANAGEMENT SERVICES INC.
Practice address
2315 E 93Rd St Ste 200
Chicago, IL 60617-3988
Phone
(773) 493-4300
Fax
(773) 493-4499
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Authorized official

Name
Dr. Claude Daly, DPM
Title
Podiatrist
Phone
(773) 493-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016004690 IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 200
Chicago, IL 60617-3988

Mailing address

2315 E 93Rd St
Chicago, IL 60617-3936
Phone (773) 493-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000562 IL Part B Supplier - Clinic/Group Practice 7113137605 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1902084908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-493-4300",
            "fax_number": "773-493-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173988",
            "telephone_number": "773-493-4300",
            "fax_number": "773-493-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT HEALTH CARE MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "773-493-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004690",
            "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 Jun 4, 2022; 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.