CHICAGO FOOT AND ANKLE SURGICARE, PC (NPI# 1073813721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073813721 |
| Entity Type | Organization |
| Organization Name | CHICAGO FOOT AND ANKLE SURGICARE, PC |
| Practice Address |
3153 W 111th St Chicago IL 60655-2205 |
| Practice Telephone | 7732390702 |
| Practice Fax Number | 7732390712 |
| Mailing Telephone | 7732390702 |
| Mailing Fax Number | 7732390712 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | DR. ROBERT SHEFFEY (OWNER) |
| Authorized Official Telephone | 7732390702 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
3153 W 111TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60655-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632401 | Hillary Woodward Carroll | Nurse Practitioner | 3258 W 111th Chicago, Il, Chicago, IL 60655 | 2019-04-26 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1356700728 | Molly Samansky | Speech-Language Pathologist | 2549 W 106thh Pl, Chicago, IL 60655 | 2016-02-15 |
| 1134533615 | Axis Physical Medicine | Physical Therapist | 11005 S Kedzie Ave, Chicago, IL 60655 | 2014-06-12 |
| 1821439738 | Mercy Circle | Skilled Nursing Facility | 3659 W. 99th Street, Chicago, IL 60655 | 2013-07-09 |
| 1962772921 | E.m. Branch and Associates, Inc | Social Worker | 3139 W. 111th Street, Chicago, IL 60655 | 2012-01-09 |
| 1922377951 | Patricia Murphy | Counselor | 10435 Kedzie Ave, Chicago, IL 60655 | 2011-12-20 |
| 1346518891 | Kelly Diana Koch | Occupational Therapist | 11143 S. Troy, Chicago, IL 60655 | 2011-12-12 |
| 1265678544 | Lawrence Michael Furlan | Dentist | 10900 S Kedzie, Chicago, IL 60655 | 2008-12-17 |
| 1710122361 | Athletico, Ltd | Physical Therapist | 3644 W. 111th Street, Chicago, IL 60655 | 2008-12-11 |
| Find all providers in zip 60655 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1720505787 | Midwest Ambulatory Care LLC | Clinic/Center | 1212 N La Salle Dr Ste 100, Chicago, IL 60610-2379 | 2017-08-29 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1033652557 | Windy City Surgical Services, LLC | Clinic/Center | 4740 N Cumberland Ave, Chicago, IL 60656-4239 | 2016-12-01 |
| 1548697147 | International Medical and Surgical Institute,sc | Clinic/Center | 2359 N Calfornia Ave, Chicago, IL 60647-2939 | 2013-09-27 |
| 1801106851 | Midwest Medix Surgery Center | Clinic/Center | 8630 S Pulaski Rd, Chicago, IL 60652-3633 | 2010-10-08 |
| 1245466192 | Anti Aging Surgical Center | Clinic/Center | 3918 W 63rd St, Chicago, IL 60629-4604 | 2009-06-05 |
| 1104066398 | Central Medical Specialists LLC | Clinic/Center | 2715 N Central Ave, Chicago, IL 60639-1351 | 2009-02-27 |
| Find all providers in CHICAGO | ||||
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| 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.