Northwest Foot and Ankle PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004936 Issued in IL

Legal business name

NORTHWEST FOOT AND ANKLE PC

Practice address

4701 N Cumberland Ave
Suite 19
Norridge, IL 60706-2905

Phone

(708) 456-5150

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Anglim, DPMNPI 1871521351

Title

President

Phone

(708) 456-5150

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Anglim, DPM

  • Podiatrist
  • Norridge, IL
  • NPI 1871521351
  Medicare reassignment NPD Authorized official
• Nathan Ray Schmidt, LPT

  • Physical Therapist
  • Norridge, IL
  • NPI 1043457864
  NPD (past)
• Jeffrey P Hall, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Francis, WI
  • NPI 1568467512
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1942371265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N CUMBERLAND AVE",
            "address_2": "SUITE 19",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062905",
            "telephone_number": "708-456-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N CUMBERLAND AVE",
            "address_2": "SUITE 19",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062905",
            "telephone_number": "708-456-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FOOT AND ANKLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "ANGLIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-456-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norridge Chiropractic Clinic LTD
• Norridge Gardens,LLC
• Norridge Nursing Centre, Inc
• Norridge School District 80
• Northland Hearing Centers, Inc. (The Hearing Lab)
• Meghan O'Brien, FNP-C
• Zach Olson
• Arlene Ong Torio
• Organic Healing Counseling, PLLC
• Betty Papanicolaou, DDS

• Podiatrist in Norridge, IL
• Providers in Norridge, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.