SUBURBAN FOOT AND ANKLE SPECIALISTS P.C. (NPI# 1811183502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811183502 |
| Entity Type | Organization |
| Organization Name | SUBURBAN FOOT AND ANKLE SPECIALISTS P.C. |
| Practice Address |
475 N Farnsworth Ave Aurora IL 60505-3004 |
| Mailing Address |
Po Box 444 Lake Forest IL 60045-0444 |
| Practice Telephone | 6308980022 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | LEWIS WASSERMAN (PRESIDENT) |
| Authorized Official Telephone | 8472190539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF ILLINOIS | 0004523326 | 01 |
| Street Address |
475 N FARNSWORTH AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60505-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292121 | Kuchipudi Veerraju | Family Medicine | 475 N Farnsworth Ave, Aurora Medical Clinic, Aurora, IL 60505-3004 | 2005-11-15 |
| 1831754043 | Bhavesh Chandrakant Jain | Nurse Practitioner | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2019-05-02 |
| 1922593839 | Dima Hadidi | Pharmacist | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2018-06-25 |
| 1841670437 | Margaret Wright | Nurse Practitioner | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2015-06-09 |
| 1720488760 | Abiah A Grant | Nurse Practitioner | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2014-08-27 |
| 1831477371 | M D Patel Inc | Clinic/Center | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2011-08-02 |
| 1386922821 | M D Patel | Family Medicine | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2011-08-02 |
| 1528380557 | Aurora Family Dental Inc | Dentist | 475 N Farnsworth Ave, Suite 201, Aurora, IL 60505-3004 | 2010-02-18 |
| 1508053380 | M D Patel Inc | Family Medicine | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2007-09-26 |
| 1972688166 | Michael R Gavlak | Pharmacist | 475 N Farnsworth Ave, Aurora, IL 60505-3004 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420486 | Charlene Roberta Krejci-simmons | Podiatrist | 945 Lake Ave, Aurora, OH 44202-8712 | 2012-01-23 |
| 1598780553 | Ted Steven Peterson | Podiatrist | 9 E Garfield Rd, Aurora, OH 44202-6713 | 2006-07-12 |
| 1184648750 | Jonathon Dormish | Podiatrist | 13701 E Mississippi Ave, Suite 380, Aurora, CO 80012-6141 | 2006-07-27 |
| 1932140886 | Jonathon J Dormish Dpm LLC | Podiatrist | 13701 E Mississippi Ave, Suite 200, Aurora, CO 80012-6141 | 2006-06-10 |
| 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 |
| 1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
| 1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
| 1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
| 1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
| 1447392972 | Willie Lee Brown | Podiatrist | 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 | 2007-02-12 |
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| 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.