Active NPI
Holt Health Care Management Services Inc.
- Podiatrist
- Chicago, IL
National Provider Identifier
1902084908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004690
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120120000562 | IL | Part B Supplier - Clinic/Group Practice | 7113137605 | Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryNPI 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.