FOOTWISE PODIATRY, LTD. (NPI# 1760686075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760686075 |
| Entity Type | Organization |
| Organization Name | FOOTWISE PODIATRY, LTD. |
| Practice Address |
1324 Kettering Rd Mundelein IL 60060-5364 |
| Practice Telephone | 8478371076 |
| Practice Fax Number | 8478379228 |
| Mailing Telephone | 8478371076 |
| Mailing Fax Number | 8478379228 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-01-01 |
| Authorized Official Name | DR. MARY M. MARTINO (PRESIDENT) |
| Authorized Official Telephone | 8478371076 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016-004178 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF ILLINOIS | 600-01724 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861640708 | Footwise Podiatry, Ltd. | Podiatrist | 4646 N Marine Dr, Suite # A6700, Chicago, IL 60640-5759 | 2008-09-04 |
| Street Address |
1324 KETTERING RD |
| City | MUNDELEIN |
| State | IL |
| Zip Code | 60060-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689734964 | Mary M Martino | Podiatrist | 1324 Kettering Rd, Mundelein, IL 60060-5364 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655950 | Mundelein Dental Clinic LLC | Clinic/Center | 3074 Il-60, Mundelein, IL 60060 | 2017-12-19 |
| 1154845923 | Michelle Robin Wichter | Counselor | 1606 Woodhaven Ct., Mundelein, IL 60060 | 2017-08-02 |
| 1023556602 | Merry Walker Corporation | Durable Medical Equipment & Medical Supplies | 21350 West Sylvan Drive South, Mundelein, IL 60060 | 2017-02-03 |
| 1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
| 1639519101 | Megha Shah | Pharmacist | 3100 Route 60, Mundelein, IL 60060 | 2013-06-28 |
| 1427300540 | G A C Therapy Services Inc | In Home Supportive Care | 1041 Concord Circle, Mundelein, IL 60060 | 2012-10-12 |
| 1316202898 | Thomas W Pogue | Dentist | 287 N. Lake St, Mundelein, IL 60060 | 2012-07-10 |
| 1316221294 | Vernon Hills Physical Medicine, Service Corporation | Anesthesiology | 355 East Route 83, Mundelein, IL 60060 | 2011-10-10 |
| 1669701389 | Dui & Addiction Counseling Center | Community/Behavioral Health | 333 E. Illinois Route 83, B7, Mundelein, IL 60060 | 2009-12-08 |
| 1427281591 | Accuvision Inc | Optometrist | 824 North Illinois Route 83, Mundelein, IL 60060 | 2009-08-24 |
| Find all providers in zip 60060 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639223407 | Gary L Rippberger | Podiatrist | 21268 W Lakeview Pkwy, Mundelein, IL 60060-9627 | 2007-01-22 |
| 1689734964 | Mary M Martino | Podiatrist | 1324 Kettering Rd, Mundelein, IL 60060-5364 | 2006-12-09 |
| 1902964703 | Edward A Schulz Dpm | Podiatrist | 550 N Midlothian Road, Suite 100, Mundelein, IL 60060 | 2006-12-05 |
| 1093702243 | Edward Arthur Schulz | Podiatrist | 550 N Midlothian Rd, Ste 100, Mundelein, IL 60060-1613 | 2005-10-03 |
| 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 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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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.