ELGIN FOOT & ANKLE CENTER, S.C. (NPI# 1639270663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639270663 |
| Entity Type | Organization |
| Organization Name | ELGIN FOOT & ANKLE CENTER, S.C. |
| Practice Address |
750 Fletcher Dr Ste 300 Elgin IL 60123 |
| Mailing Address |
750 Fletcher Dr Ste 300 Elgin IL 60123-4703 |
| Practice Telephone | 8477413127 |
| Practice Fax Number | 8477413173 |
| Mailing Telephone | 8477413127 |
| Mailing Fax Number | 8477413173 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | DR. KENNETH E JACOBY (PRESIDENT) |
| Authorized Official Telephone | 8477413127 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | DD0562 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 396 Remington Blvd Ste 370, Bolingbrook, IL 60440 | 6304186601 | 6303122223 |
| Street Address |
750 FLETCHER DR STE 300 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457694481 | Cory Evan Jacoby | Podiatrist | 750 Fletcher Dr Ste 300, Elgin, IL 60123-4703 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881936649 | Prairie Foot & Ankle, P.C. | Podiatrist | 2371 Bowes Road, Suite 400, Elgin, IL 60123 | 2013-03-20 |
| 1912168931 | Supreet Kaur Dhaliwal | Podiatrist | 2371 Bowes Rd, Ste 400, Elgin, IL 60123 | 2008-06-23 |
| 1992706261 | Scott Newcomb | Podiatrist | 431 Summit St, Suite 102, Elgin, IL 60120-3861 | 2005-08-09 |
| 1285267328 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1795 Grandstand Pl, Elgin, IL 60123-4980 | 2020-02-18 |
| 1891133096 | Matthew Albert Krouse | Podiatrist | 1750 N Randall Rd, Suite 160, Elgin, IL 60123-7900 | 2013-06-10 |
| 1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
| 1457694481 | Cory Evan Jacoby | Podiatrist | 750 Fletcher Dr Ste 300, Elgin, IL 60123-4703 | 2013-03-27 |
| 1699013698 | Kazmer Foot and Ankle Centers Ltd | Podiatrist | 1710 N Randall Rd Ste 140, Elgin, IL 60123-9401 | 2013-01-25 |
| 1508104506 | Kazmer Foot and Ankle Centers Ltd | Podiatrist | 1554 Todd Farm Dr, Elgin, IL 60123-1287 | 2013-01-25 |
| 1023334935 | Advanced Foot & Ankle Specialists Sc | Podiatrist | 1750 N Randall Rd, Suite 160, Elgin, IL 60123-7900 | 2010-04-16 |
| Find all providers in ELGIN | ||||
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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.