A BRIDGEPORT FOOT AND ANKLE CLINIC, LTD (NPI# 1053421180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053421180 |
| Entity Type | Organization |
| Organization Name | A BRIDGEPORT FOOT AND ANKLE CLINIC, LTD |
| Practice Address |
9933 Lawler Ave Suite 225 Skokie IL 60077-3703 |
| Mailing Address |
3058 W Peterson Chicago IL 60659 |
| Practice Telephone | 3122252444 |
| Practice Fax Number | 8476742113 |
| Mailing Telephone | 3122252444 |
| Mailing Fax Number | 8476742113 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | DR. SIDNEY WEISER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3122252444 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ========= | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016004192 | 05 | |
| IL | BCBS | 01635040 | 01 |
| Street Address |
9933 LAWLER AVE SUITE 225 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704811 | Skokie Meadows Nursing Center II | Nursing Facility/Intermediate Care Facility | 9933 Lawler Ave, Ste #350, C/o Premier Management Co, Skokie, IL 60077-3703 | 2005-07-21 |
| 1841661931 | Wendy Shorr | Durable Medical Equipment & Medical Supplies | 9933 Lawler Ave, Suite 340, Skokie, IL 60077-3773 | 2015-10-14 |
| 1861837973 | Kunnel Dental Center P.C. | Dentist | 9933 Lawler Ave, #401, Skokie, IL 60077-3703 | 2013-05-02 |
| 1093069866 | Ella Komarovsky Md | Clinic/Center | 9933 Lawler Ave, Suite 338a, Skokie, IL 60077-3703 | 2012-11-01 |
| 1376807966 | David B. Schwartz, Dds and Associates | Dentist | 9933 Lawler Ave, Skokie, IL 60077-3703 | 2012-06-27 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1467733741 | 1 Stop Homemaker Services, LLC. | In Home Supportive Care | 9933 Lawler Ave, Suite 206, Skokie, IL 60077-3703 | 2011-08-31 |
| 1346538402 | Brian Rosenblatt | Dentist | 9933 Lawler Ave, Ste# 340, Skokie, IL 60077-3703 | 2011-07-11 |
| 1841525656 | Sergey Viktorovich Dergachev | Massage Therapist | 9933 Lawler Ave, Suite 520, Skokie, IL 60077-3703 | 2009-10-12 |
| 1114178217 | Fabio Ortega Md Sc | Obstetrics & Gynecology | 9933 Lawler Ave, Suite 409, Skokie, IL 60077 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443337 | Kareem Raheem | Podiatrist | 9933 Lawwler, Suite #225, Skokie, IL 60077-3701 | 2006-09-01 |
| 1699783571 | Alice Cisneros | Podiatrist | 4225 Main St, Skokie, IL 60076 | 2006-08-04 |
| 1972598274 | William Samuel Digilio | Podiatrist | 8348 Lincoln Ave, Skokie, IL 60077-2436 | 2005-09-13 |
| 1306114236 | Skokie Foot & Ankle Specialists, Ltd. | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2011-12-07 |
| 1386721991 | Michael Eric Rothman | Podiatrist | 9933 Lawler Ave, Suite 315, Skokie, IL 60077-3703 | 2006-11-01 |
| 1760585814 | Quality Podiatry Group, Ltd | Podiatrist | 9933 Lawler Ave, Suite 225, Skokie, IL 60077-3703 | 2006-09-06 |
| 1518977974 | Mark Berman D.p.m. | Podiatrist | 10024 Skokie Blvd, Suite 303, Skokie, IL 60077-9944 | 2006-08-09 |
| 1760428890 | Mark Berman | Podiatrist | 10024 Skokie Blvd, Suite 303, Skokie, IL 60077-9944 | 2006-06-20 |
| 1538137831 | Jeffrey J Rager | Podiatrist | 9555 Gross Point Rd, Skokie, IL 60076-1356 | 2006-03-10 |
| 1972579563 | Charles Maurice Mattes | Podiatrist | 8348 Lincoln Ave, Skokie, IL 60077-2436 | 2006-02-24 |
| Find all providers in SKOKIE | ||||
Please comment or provide details below to improve the information on A BRIDGEPORT FOOT AND ANKLE CLINIC, LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.