Cfac Incorporated

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016004981 Issued in IL

Legal business name

CFAC INCORPORATED

Practice address

103 S John St
Dwight, IL 60420-1413

Phone

(815) 584-9000

NPI assigned

Mar 27, 2007

Last updated

Apr 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilbert Marc Leonard, DPM

Title

Owner

Phone

(309) 212-3066

Specialties & licenses 1

Addresses

Locations

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.

• Bradford R Egly, DPM

  • Podiatrist
  • Dwight, IL
  • NPI 1528174489
  NPD (past)
• Lynae Aileen Pierson, DPM

  • Podiatrist
  • Decatur, IL
  • NPI 1952448961
  NPD (past)
• Stephen Kovach, DPM

  • Podiatrist
  • Columbus, OH
  • NPI 1447397468

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1982723623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MACKENZIE CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047047",
            "telephone_number": "309-212-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S JOHN ST",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201413",
            "telephone_number": "815-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFAC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-212-3066",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arc at Dwight LLC (Arc at Dwight)
• Jeffery Ray Bennett, D.C.
• Joan M. Bistry, M.A., N.C.C.A.
• Modinat Iretioluwa Bokin
• Marcie R Burton, COTA/L
• Champion Fitness, Inc
• Michael Charles Cichon, D.O.
• Community Medical Center of Dwight PC
• Riley Grace Connolly
• Terah Anne Coughlin, PHARMD

• Foot & Ankle Surgery Podiatrist in Dwight, IL
• Providers in Dwight, 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 Apr 3, 2013; 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.