Organization Active NPI

DRS. Bonet and Doyle PTRS

Doing business as West Suburban Podiatry

  • Podiatrist
  • Justice, IL
National Provider Identifier
1992522627
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DRS. BONET AND DOYLE PTRS
Doing business as
West Suburban Podiatry
Practice address
9050 W 81St St Ste 500
Justice, IL 60458-9800
Phone
(708) 352-5652
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Sean P. GockeNPI 1134204522
Title
Owner
Phone
(708) 352-5652

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

9050 W 81St St Ste 500
Justice, IL 60458-9800

Mailing address

915 55TH St Ste 200
Western Springs, IL 60558-2267

Other names 1

  • West Suburban Podiatry Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
DRS Bonet and Doyle PTRS9050 W 81St St, Justice, IL 60458-9800(708) 352-5652 Orthoses: Custom Fabricated|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

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": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1992522627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 55TH ST STE 200",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST STE 500",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604589800",
            "telephone_number": "708-352-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BONET AND DOYLE PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "GOCKE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-352-5652"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Suburban Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Justice, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.