Louis D Santangelo DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005389 Issued in IL

Legal business name

LOUIS D SANTANGELO DPM PC

Practice address

435 S Main St
Bourbonnais, IL 60914-1918

Phone

(815) 933-1633

Fax

(847) 933-1728

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Louis Dennis Santangelo, DPMNPI 1902130032

Title

Owner

Phone

(815) 933-1633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Louis Dennis Santangelo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bourbonnais, IL
  • NPI 1902130032
  Medicare reassignment Care Compare group NPD Authorized official
• Yousha Bin Khalid Siddiqui, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1942871074
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1962783803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-933-1633",
            "fax_number": "847-933-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141918",
            "telephone_number": "815-933-1633",
            "fax_number": "847-933-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS D SANTANGELO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-933-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Bourbonnais, IL
• Providers in Bourbonnais, 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 Nov 29, 2011; 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.