MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC (NPI# 1154930485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154930485 |
| Entity Type | Organization |
| Organization Name | MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC |
| Practice Address |
2003 Montgomery Rd Ste 108109 Aurora IL 60504-9078 |
| Practice Telephone | 6309238286 |
| Practice Fax Number | 6304018648 |
| Mailing Telephone | 6309238286 |
| Mailing Fax Number | 6304018648 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | DR. SHAYAN ALAMGIR (PHYSICIAN) |
| Authorized Official Telephone | 6309239685 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
2003 MONTGOMERY RD STE 108109 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-9078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245100 | Uzra Fatma | Clinic/Center | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841729084 | Shayan Alamgir | Podiatrist | 2003 Montgomery Rd Ste 108, Aurora, IL 60504-9049 | 2017-06-10 |
| 1679763171 | Hugh W. Murray D.p.m., P.C. | Podiatrist | 14901 E Hampden Ave Ste 140, Aurora, CO 80014-5037 | 2007-07-31 |
| 1578769741 | Foot and Ankle Specialists of Fox Valley | Podiatrist | 2088 Ogden Ave Ste 210, Aurora, IL 60504-4385 | 2007-06-25 |
| 1841240611 | Hugh William Murray | Podiatrist | 14901 E Hampden Ave, Ste 140, Aurora, CO 80014-5037 | 2006-05-11 |
| 1528023793 | Marshall George Balding | Podiatrist | 356 N Lake St, Aurora, IL 60506-4186 | 2006-04-19 |
| 1629038849 | Marc R House | Podiatrist | 12510 E Iliff Ave Ste 120, Aurora, CO 80014-6377 | 2006-03-23 |
| 1255336400 | Erik Thelander | Podiatrist | 15901 E Briarwood Cir Unit 300, Aurora, CO 80016-1786 | 2005-06-15 |
| 1689293375 | Danielle Mustico | Podiatrist | 1700 Wheeling St # 112, Aurora, CO 80045-7211 | 2020-04-13 |
| 1194385096 | Jason Tyler Dunn | Podiatrist | 1700 Wheeling St, Aurora, CO 80045-7211 | 2019-06-13 |
| 1962999581 | Kinetic Foot and Ankle Clinic, LLC | Podiatrist | 12510 E Iliff Ave Ste 120, Aurora, CO 80014 | 2018-04-19 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on MID AMERICA FOOT & ANKLE SPECIALIST ILLINOIS LLC.
| 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.