Active NPI
Northern Illinois Foot & Ankle Specialist, LTD
- Foot & Ankle Surgery Podiatrist
- Sycamore, IL
National Provider Identifier
1912738337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- NORTHERN ILLINOIS FOOT & ANKLE SPECIALIST, LTD
- Practice address
- 2180 Oakland Dr Unit a
Sycamore, IL 60178-3122 - Phone
- (815) 671-4515
- NPI assigned
- Aug 8, 2024
- 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
- Tammy Timm
- Title
- Coo
- Phone
- (815) 671-4515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
2180 Oakland Dr Unit a
Sycamore, IL 60178-3122
Mailing address
750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (815) 671-4515
National Provider Directory
National Provider Directory- Tax ID family
- Northern Illinois Foot Ankle Specialist LTD
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Arlington Heights, IL
- NPI 1326995721
-
- Foot & Ankle Surgery Podiatrist
- Hoffman Estates, IL
- NPI 1780384438
-
- Podiatric Clinic/Center
- Arlington Heights, IL
- NPI 1952036741
-
- Foot & Ankle Surgery Podiatrist
- Western Springs, IL
- NPI 1972391241
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Foot & Ankle Surgery Podiatrist
- Woodridge, IL
- NPI 1427783224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1912738337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E TERRA COTTA AVE STE C",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143621",
"telephone_number": "815-671-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 OAKLAND DR UNIT A",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783122",
"telephone_number": "815-671-4515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN ILLINOIS FOOT & ANKLE SPECIALIST, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "TIMM",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "815-671-4515"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
- New Beginnings Obstetrics and Gynecology SC
- Paul H Nguyen, M.D.
- Anita Nelson Niehues, M.S.,OTR
- Megan Elizabeth Noren, PSY.D.
- Northern Illinois ENT Specialists LTD
- Northern Illinois Plastic Surgery Consultants LTD
- Northern Illinois Sleep Center, S.C
- Northern Open MRI LLC
- Northwestern Illinois Assoication
- Northwestern Medical Faculty Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.