PRAIRIE FOOT & ANKLE, P.C. (NPI# 1346752656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346752656 |
| Entity Type | Organization |
| Organization Name | PRAIRIE FOOT & ANKLE, P.C. |
| Practice Address |
7447 West Talcott Ave Suite 406 Chicago IL 60163-3275 |
| Mailing Address |
7447 W Talcott Ave Ste 406 Chicago IL 60631-3715 |
| Practice Telephone | 2242276973 |
| Practice Fax Number | 2242383296 |
| Mailing Telephone | 2242276973 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | DENISE MARY-DANIELLE LEE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2242276973 |
| Authorized Official Credential | BSHA/MMHRM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005367 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881936649 | Prairie Foot & Ankle, P.C. | Podiatrist | 2371 Bowes Road, Suite 400, Elgin, IL 60123 | 2013-03-20 |
| Street Address |
7447 WEST TALCOTT AVE SUITE 406 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60163-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 1194720292 | New Home Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 5813 Saint Charles Rd, Berkeley, IL 60163-1031 | 2005-06-15 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| 1104197664 | Nadia C Hughes | Pharmacist | 1228 N Irving Ave, Berkeley, IL 60163-1130 | 2012-01-14 |
| 1649294927 | Gary Robert Johnson | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1386095933 | Michael A. Esposito Dds, P.C. | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2016-06-24 |
| 1144663139 | Clinical Research Institute, Inc. | Voluntary or Charitable | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2013-04-10 |
| 1063573277 | Michael Anthony Esposito | Dentist | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-12-12 |
| 1366466930 | Gary R. Johnson, D.d.s., P.C. | Clinic/Center | 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163-1148 | 2006-07-27 |
| 1861517617 | Berkeley School Dist 87 | Local Education Agency (LEA) | 5400 Saint Charles Rd, Berkeley, IL 60163-1244 | 2007-03-20 |
| Find all providers in zip 60163 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
| 1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
| 1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
| 1700292711 | Archer Foot Clinic | Podiatrist | 3113 S Archer Ave, Chicago, IL 60608-6223 | 2014-07-10 |
| 1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
| 1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
| 1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
| 1710328224 | Paul Gregory Lantz | Podiatrist | 5758 S Maryland Ave # Nc9015, Chicago, IL 60637-1426 | 2013-07-12 |
| 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.