Organization Active NPI

Achilles Heel LTD

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1902178445
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.004247 Issued in IL
Legal business name
ACHILLES HEEL LTD
Practice address
10349 S Western Ave
Chicago, IL 60643-2410
Phone
(773) 445-3668
Fax
(773) 445-6768
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. David Lawrence Kaiser, D.P.M.
Title
Owner
Phone
(773) 445-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016.004247 IL Primary

Addresses

Primary practice location

10349 S Western Ave
Chicago, IL 60643-2410

Mailing address

10349 S Western Ave
Chicago, IL 60643-2410
Phone (773) 445-3668

Other names 1

  • Achilles Heel Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

10349 S Western Ave
Chicago, IL 60643
Phone (312) 445-6058

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1902178445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10349 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432410",
            "telephone_number": "773-445-3668",
            "fax_number": "773-445-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10349 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432410",
            "telephone_number": "773-445-3668",
            "fax_number": "773-445-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES HEEL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-445-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.004247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achilles Heel Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 30, 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.