Timothy Salley, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

Practice address

1811 Broadsmore Dr
Algonquin, IL 60102-6611

Phone

(847) 844-8911

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952319550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BROADSMORE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026611",
            "telephone_number": "847-844-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BROADSMORE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026611",
            "telephone_number": "847-844-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Rudolph, MS, PT
• Kathleen A Ryan Ceisel, PT
• Thomas R Sak, PSYD
• Irina Salabai
• Patricia Fernando Salazar, PT
• Salud Pediatrics SC
• Johnathan Salvi
• Thomas Gerard Salvi, M.D.
• Natalia L Sanchez, COF
• Kevin Layton Sanderson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.