PRPODIATRY, LLC (NPI# 1710279641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710279641 |
| Entity Type | Organization |
| Organization Name | PRPODIATRY, LLC |
| Practice Address |
433 W Briar Pl Unit 7b Chicago IL 60657-4752 |
| Practice Telephone | 8472758375 |
| Mailing Telephone | 8472758375 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | ELLEN RUBIN (OWNER) |
| Authorized Official Telephone | 8472758375 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
433 W BRIAR PL UNIT 7B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1205868551 | Angela Pezzuto | Podiatrist | 1424 E. 53rd St., Ste.301, Mitchell Foot and Ankle, Chicago, IL 60615 | 2006-07-07 |
| 1740259365 | Douglas A Diekevers | Podiatrist | 3000 Halsted St, Suite 525, Chicago, IL 60603-5902 | 2006-03-16 |
| 1851385553 | Sloan V Metz | Podiatrist | 3700 W 26th St, Chicago, IL 60623-3824 | 2005-09-08 |
| 1902890395 | Darrell R Latva | Podiatrist | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2005-08-31 |
| 1063810778 | Foot First Podiatry Centers Vpc | Podiatrist | 30 S Michigan Ave, Suite 302, Chicago, IL 60603-3211 | 2014-12-11 |
| 1942632856 | Jeffrey Moy | Podiatrist | 3632 N Western Ave, Chicago, IL 60618-4715 | 2013-08-01 |
| 1780960831 | Charles Caplis Dpm Sc | Podiatrist | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3402 | 2011-11-02 |
| 1417116609 | Alameda Foot Centers, PC | Podiatrist | 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 | 2008-06-03 |
| 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.