FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD (NPI# 1285817536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285817536 |
| Entity Type | Organization |
| Organization Name | FOX VALLEY FOOT AND ANKLE SPECIALIST, LTD |
| Practice Address |
2401 Kaneville Rd Ste 6 Geneva IL 60134-2577 |
| Mailing Address |
Po Box 762 Geneva IL 60134-0762 |
| Practice Telephone | 6302321013 |
| Practice Fax Number | 6302321014 |
| Mailing Telephone | 6302321013 |
| Mailing Fax Number | 6302321014 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | DR. MARK MONDUL (OWNER) |
| Authorized Official Telephone | 6302321013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016003529 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 60001518 | 01 |
| Street Address |
2401 KANEVILLE RD STE 6 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417308925 | Timothy Craig Wirt | Podiatrist | 351 Delnor Dr Ste 401, Geneva, IL 60134-4235 | 2016-06-27 |
| 1437292141 | Geneva Foot & Ankle Associates, P.C. | Podiatrist | 1705 South St, Ste A, Geneva, IL 60134-2583 | 2007-02-14 |
| 1780727586 | Peter C. Tsang | Podiatrist | 4 South Sixth St., Geneva, IL 60134 | 2007-02-14 |
| 1497704159 | Joseph T Perillo D P M | Podiatrist | 650 Pre Emption Rd, Geneva, NY 14456 | 2006-05-09 |
| 1932667672 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 650 Pre Emption Rd, Geneva, NY 14456-1334 | 2019-03-12 |
| 1245539923 | Peter Michael Stasko | Podiatrist | 875 Pre Emption Rd, Geneva, NY 14456-2042 | 2011-03-21 |
| 1144552597 | Kane Podiatry Associates, S.c. | Podiatrist | 2172 Blackberry Dr, Suite 112, Geneva, IL 60134-1102 | 2010-02-10 |
| 1790912699 | Joanna Chura | Podiatrist | 2525 Kaneville Rd, Geneva, IL 60134-2578 | 2009-06-18 |
| 1770769093 | Foot First Podiatry Centers, V.p.c. | Podiatrist | 2197 Blackberry Dr, Geneva, IL 60134-4713 | 2008-01-16 |
| 1457452476 | John J Mytych | Podiatrist | 2401 Kaneville Rd, Ste 6, Geneva, IL 60134-2577 | 2006-09-25 |
| Find all providers in GENEVA | ||||
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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.