PERFORMANCE PODIATRY PARTNERS, LLC (NPI# 1265942080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265942080 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE PODIATRY PARTNERS, LLC |
| Practice Address |
4805 N Claremont Ave Commercial Unit 1 Chicago IL 60625 |
| Mailing Address |
2120 N Winchester Ave Chicago IL 60614-3915 |
| Practice Telephone | 3125793150 |
| Mailing Telephone | 5082598466 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | DR. SUPNA REILLY (PHYSICIAN) |
| Authorized Official Telephone | 5082598466 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
4805 N CLAREMONT AVE COMMERCIAL UNIT 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760791156 | Supna Oberoi Reilly | Podiatrist | 4805 N Claremont Ave, Commercial Unit 1, Chicago, IL 60625-1909 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871507533 | Crista Joy Frank | Podiatrist | 123 Johnston Dr, Highland Park, IL 60035-6411 | 2006-07-28 |
| 1437142858 | Daniel Thomas O Carroll | Podiatrist | 22w654 Butterfield Rd, Glen Ellyn, IL 60137-6957 | 2005-08-31 |
| 1104213651 | Halinski Podiatrics | Podiatrist | 3385 N Arlington Heights Rd, Suite Gh, Arlington Heights, IL 60004-7702 | 2015-04-22 |
| 1942474036 | Forest View Podiatry Center | Podiatrist | 1760 W Algonquin Rd, Hoffman Estates, IL 60192-1573 | 2008-04-18 |
| 1043263171 | Bruce E. Noxon | Podiatrist | 2050 Pfingsten Rd, Suite #190, Glenview, IL 60026-1324 | 2006-05-18 |
Please comment or provide details below to improve the information on PERFORMANCE PODIATRY PARTNERS, 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.