Serenity Foot and Ankle Specialists

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SERENITY FOOT AND ANKLE SPECIALISTS

Practice address

767 Park Ave W
Ste 180
Highland Park, IL 60035

Phone

(847) 380-3700

Fax

(877) 540-0387

NPI assigned

Jul 28, 2020

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nooreen Ibrahim, DPMNPI 1720433212

Title

Physician/Ceo

Phone

(847) 380-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nooreen Ibrahim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Highland Park, IL
  • NPI 1720433212
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1922617778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W STE 180",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352470",
            "telephone_number": "847-380-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 PARK AVE W",
            "address_2": "STE 180",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-380-3700",
            "fax_number": "877-540-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "NOOREEN",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "847-380-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• See Inc
• Karen Seltzer, LMT
• Jill E Senner, PHD
• Arouna Senthilkumar, M.D.
• Melissa Z Septon, PT
• Halec Serlin, DDS
• Shruti Shah, M.D.
• Hassan Jeelani Shakir, M.D.
• Hope Shamberg, LCSW
• Carly Shapiro, MS, CF-SLP

• Foot & Ankle Surgery Podiatrist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.