PRAIRIE PODIATRY INC. (NPI# 1225535867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225535867 |
| Entity Type | Organization |
| Organization Name | PRAIRIE PODIATRY INC. |
| Practice Address |
21813 Cappel Ln Frankfort IL 60423-2275 |
| Practice Telephone | 9785496818 |
| Mailing Telephone | 9785496818 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | WAYNE MCCULLOUGH (PRESIDENT) |
| Authorized Official Telephone | 9785496818 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0700115A | IN | Podiatric Medicine & Surgery Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PRAIRIE PODIATRY INC. | 21813 Cappel Lane, Frankfort, IL 60423 |
| Street Address |
21813 CAPPEL LN |
| City | FRANKFORT |
| State | IL |
| Zip Code | 60423-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033284179 | Wayne M Mccullough | Podiatrist | 21813 Cappel Ln, Frankfort, IL 60423-2275 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589542 | Katherine Melissa Helm-lewis | Psychologist | Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 | 2019-10-09 |
| 1548819295 | Edith Stemmer | Technician | 22921 Toscana Drive, Frankfort, IL 60423 | 2019-09-05 |
| 1063974343 | Kailan Nicole Kathryn Paul | Occupational Therapist | 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 | 2019-04-04 |
| 1568928687 | Sari Leonela Perez | Behavior Technician | 5419 W. 87th St., Oak Lawn, IL 60423 | 2019-02-13 |
| 1992210322 | Personal Solutions Counseling, PC | Counselor | 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 | 2017-12-07 |
| 1255850038 | Abrahim Alramhi | Specialist/Technologist | 7635 West Juniper Ct, Frankfort, IL 60423 | 2017-09-13 |
| 1982120051 | Jakara Lynne Hubbard | Counselor | 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 | 2017-08-20 |
| 1922558345 | Madison Gaffney | Behavioral Analyst | 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 | 2016-10-10 |
| 1972050094 | Shannon Schaefer | Occupational Therapist | 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 | 2016-09-07 |
| 1336515949 | Anthony Joseph Vuckovich | Chiropractor | 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 | 2015-08-18 |
| Find all providers in zip 60423 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558703298 | Audey Nasser | Podiatrist | 1475 E Belvidere Rd Ste 202, Grayslake, IL 60030-2015 | 2013-07-23 |
| 1588008692 | Podiatry Care, Inc | Podiatrist | 832 Old Checker Rd, Buffalo Grove, IL 60089-1689 | 2013-04-19 |
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1679760821 | Foot and Ankle Inc | Podiatrist | 14539 S Stirrup Ct, Homer Glen, IL 60491-9297 | 2007-10-02 |
| 1255548202 | Dr. Robert L. Baron | Podiatrist | 60 Main St., Suite A, Oswego, IL 60543-8594 | 2007-05-17 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1841310760 | Jeffrey Garrard | Podiatrist | 6225 Dempster St, Morton Grove, IL 60053-2818 | 2007-04-02 |
| 1255468054 | Michael Anthony Walsh | Podiatrist | 9806 Grand Ave, Franklin Park, IL 60131-2679 | 2007-02-27 |
| 1659407781 | Martin Bruce Nead | Podiatrist | 1014 E St, Charleston, IL 61920-2524 | 2007-02-25 |
| 1821123977 | Brian J Reilly | Podiatrist | 2402 E Oakland Ave, Suite 5, Bloomington, IL 61701-5828 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.