Organization Active NPI

Oak Foot and Ankle LLC

  • Podiatrist
  • Oak Lawn, IL
National Provider Identifier
1982415832
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OAK FOOT AND ANKLE LLC
Practice address
4700 W 95TH St Ste 306
Oak Lawn, IL 60453-2572
Phone
(708) 424-3334
NPI assigned
Jan 18, 2025
Last updated
Jan 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Brandon Kunz, DPMNPI 1992238786
Title
Physician
Phone
(847) 224-1805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

4700 W 95TH St Ste 306
Oak Lawn, IL 60453-2572

Mailing address

5116 Wolfe Dr
Oak Lawn, IL 60453-5144
Phone (847) 224-1805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225002428 IL Part B Supplier - Clinic/Group Practice 5193245884 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory

Locations

4700 W 95th St
Ste 306
Oak Lawn, IL 60453
Phone (708) 424-3334

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1982415832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 WOLFE DR",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535144",
            "telephone_number": "847-224-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST STE 306",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532572",
            "telephone_number": "708-424-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-224-1805",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.