South Chicago Foot & Ankle Center, LTD

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

SOUTH CHICAGO FOOT & ANKLE CENTER, LTD

Practice address

1706 E 87TH St
Chicago, IL 60617-2740

Phone

(773) 374-5300

Fax

(773) 374-5860

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Jondelle Jenkins, DPM

Title

President

Phone

(773) 374-5300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1962574103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "773-374-5300",
            "fax_number": "773-374-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "773-374-5300",
            "fax_number": "773-374-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHICAGO FOOT & ANKLE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JONDELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-374-5300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesam Sourour, MD
• Jacqueline Rose Souter, AU.D.
• South Central Community Services, Inc.
• South Central Community Services, Inc.
• South Central Community Services, Inc.
• South Chicago Lab Limited
• South Chicago Orthopedic Specialists, SC
• South Chicago Parents and Friends, Inc.
• South Chicago Physicial Medicine
• South Chicago Sleep Lab, Inc.

• Podiatric Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatric Clinic/Center in Illinois

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