DR. DOUGLAS A DIEKEVERS (NPI# 1740259365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740259365 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS A DIEKEVERS |
| Credential | DPM |
| Practice Address |
3000 Halsted St Suite 525 Chicago IL 60603-5902 |
| Mailing Address |
3000 N Halsted St Ste 525 Chicago IL 60657-9269 |
| Practice Telephone | 7734333130 |
| Mailing Telephone | 7734333130 |
| Mailing Fax Number | 4407161605 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016004442 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED HEALTHCARE | 93662603 | 01 |
| IL | 016004442 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 60010806 | 01 |
| IL | RAILROAD MEDICARE | P00251740 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 W Surf St Ste 6400, Chicago, IL 606577227 | 7734333130 | 7334333127 |
| Street Address |
3000 HALSTED ST SUITE 525 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60603-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457320749 | Charles W Mercier | Orthopaedic Surgery | 3000 Halsted St, Suite 525, Chicago, IL 60657-9269 | 2006-03-17 |
| 1801865191 | David A Hoffman | Orthopaedic Surgery | 3000 Halsted St, Suite 525, Chicago, IL 60603-5902 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1609352517 | Dawn Marie Seich | Nurse Practitioner | 190 S Lasalle #2130, Chicago, IL 60603 | 2018-07-13 |
| 1962869396 | Claire Kacena | Chiropractor | 10 S. Lasalle, Ste 1110, Chicago, IL 60603 | 2016-01-15 |
| 1588043251 | Thresholds | Clinic/Center | 120 South Lasalle Street, Suite 1410, Chicago, IL 60603 | 2015-05-27 |
| 1508273863 | Dr. Jeffrey Jones D.c. Inc. | Chiropractor | 19 S. Lasalle St., Suite 503, Chicago, IL 60603 | 2014-07-18 |
| 1942614730 | Devan Mark Hite | Counselor | 8 S Michigan Ave Ste 618, Chicago, IL 60603 | 2014-06-19 |
| 1265846604 | Jeffrey Jones | Chiropractor | 19 S Lasalle St, 503, Chicago, IL 60603 | 2014-06-13 |
| 1225469208 | Amy Kelly | Marriage & Family Therapist | 67 E Madison St # 1421, Chicago, IL 60603 | 2013-12-02 |
| 1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
| Find all providers in zip 60603 | ||||
| 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 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 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 |
| 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.