PODIATRIC MANAGEMENT SYSTEMS LLC (NPI# 1396968053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396968053 |
| Entity Type | Organization |
| Organization Name | PODIATRIC MANAGEMENT SYSTEMS LLC |
| Practice Address |
765 Ela Rd Lake Zurich IL 60047-2385 |
| Mailing Address |
70 E Lake St Ste 1102 Chicago IL 60601-7499 |
| Practice Telephone | 8475409949 |
| Practice Fax Number | 8475409971 |
| Mailing Telephone | 3123721160 |
| Mailing Fax Number | 3123723346 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MS. PATRICE COOPER (ADMINISTRATOR) |
| Authorized Official Telephone | 3123721160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
IL | Podiatric Medicine & Surgery Service Providers | |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS PROVIDER NUMBER | 90001026 | 01 |
| IL | BCBS PROVIDER NUMBER | 1621423 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 S Michigan Ave, Suite 503, Chicago, IL 606033211 | 3123721160 | 3123723346 |
| 183 W 1st St, Elmhurst, IL 601262815 | 6305303338 | 6305606402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1316553605 | Podiatric Management Systems LLC | Podiatrist | 7126 N Lincoln Ave, Lincolnwood, IL 60712-2234 | 2020-09-22 |
| 1063028538 | Podiatric Management Systems LLC | Podiatrist | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2020-09-21 |
| 1972119360 | Podiatric Management Systems LLC | Podiatrist | 505 N Wolf Rd, Wheeling, IL 60090-3027 | 2020-09-21 |
| 1033725577 | Podiatric Management Systems LLC | Podiatrist | 317 E Dundee Rd, Palatine, IL 60074-2812 | 2020-09-21 |
| 1699381376 | Podiatric Management Systems LLC | Podiatrist | 1943 S Mannheim Rd, Westchester, IL 60154-4322 | 2020-09-18 |
| Street Address |
765 ELA RD |
| City | LAKE ZURICH |
| State | IL |
| Zip Code | 60047-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164474433 | George Cassidy | Radiology | 765 Ela Rd, Suite 305, Lake Zurich, IL 60047-2337 | 2006-05-16 |
| 1376077685 | Kimberly D Wood | Counselor | 765 Ela Rd, Suite 211, Lake Zurich, IL 60047-2385 | 2017-04-13 |
| 1700173549 | Dawn M Costello | Massage Therapist | 765 Ela Rd, Ste. 105, Lake Zurich, IL 60047-2385 | 2011-06-30 |
| 1548556319 | Jessica Bozarth | Massage Therapist | 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | 2011-06-21 |
| 1912229766 | Nicole R King | Naprapath | 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | 2010-02-22 |
| 1588892277 | Anna Christine Gurrera | Podiatrist | 765 Ela Rd, Suite 100, Lake Zurich, IL 60047-2385 | 2009-07-01 |
| 1861667115 | Amedisys Illinois. L.L.C. | Home Health | 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | 2008-04-28 |
| 1508077074 | Iatgw | Chiropractor | 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | 2007-05-25 |
| 1770703100 | Mary Tm Dicerbo, PC | Chiropractor | 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | 2007-04-26 |
| 1780736843 | Michael J. Pearson | Social Worker | 765 Ela Rd, Suite 211, Lake Zurich, IL 60047-6305 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142547 | Terry Solberg | Technician | 25 Robin Crest Rd, Hawthorn Woods, IL 60047 | 2019-09-05 |
| 1073083614 | Cody Colleen Todd | Counselor | 21361 W Brandon Rd, Kildeer, IL 60047 | 2018-11-27 |
| 1861983694 | Ahmad Family Primary Care, S.c. | Family Medicine | 350 Surryse Rd Ste 240, Lake Zurich, IL 60047 | 2018-05-29 |
| 1508371972 | Joy Anne Margolis | Speech-Language Pathologist | 4151 Robert Parker Coffin Rd, Long Grove, IL 60047 | 2017-12-07 |
| 1982118576 | Stephanie Marie Luebbe | Specialist/Technologist | 30 Seneca Ave W, Hawthorn Woods, IL 60047 | 2017-11-19 |
| 1447785498 | Kayla Stavnes | Student in an Organized Health Care Education/Training Program | 23537 N Garden Ln, Lake Zurich, IL 60047 | 2017-04-27 |
| 1104366491 | Lindsay Pearlman & Associates | Psychologist | 4160 Rte 83, Suite 307, Long Grove, IL 60047 | 2017-03-06 |
| 1164969929 | Lauren Christine Hallerud | Counselor | 4180 Il-83, Suite 10, Long Grove, IL 60047 | 2017-01-31 |
| 1790220820 | Long Grove Center for Emotional Health LLC | Counselor | 4180 Rfd, Suite 10, Long Grove, IL 60047 | 2016-12-28 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| Find all providers in zip 60047 | ||||
| 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 | ||||
| City | LAKE ZURICH |
| Zip Code | 60047 |
Please comment or provide details below to improve the information on PODIATRIC MANAGEMENT SYSTEMS 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.