Specialized Podiatry, L.L.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005409 Issued in IL

Legal business name

SPECIALIZED PODIATRY, L.L.C.

Practice address

660 Dunhill Dr
Buffalo Grove, IL 60089-1513

Phone

(224) 381-9438

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Igor Dukarevich, DPMNPI 1538326426

Title

Doctor

Phone

(224) 381-9438

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11733/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Igor Dukarevich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Melrose Park, IL
  • NPI 1538326426
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1952798548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891513",
            "telephone_number": "224-381-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891513",
            "telephone_number": "224-381-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PODIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "DUKAREVICH",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "224-381-9438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shanna Leigh Spina, D.M.D.
• Elizabeth Mary Spink, PHYSICAL THERAPIST
• Julie A. Spokane, LCSW

• Podiatrist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.