MERCADO FOOT CLINIC LTD (NPI# 1891805222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891805222 |
| Entity Type | Organization |
| Organization Name | MERCADO FOOT CLINIC LTD |
| Practice Address |
6545 W. North Ave Oak Park IL 60302-1020 |
| Practice Telephone | 7083836800 |
| Practice Fax Number | 7083836827 |
| Mailing Telephone | 7083836800 |
| Mailing Fax Number | 7083836827 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | DR. ORLANDO A MERCADO (DIRECTOR) |
| Authorized Official Telephone | 7083836800 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016002453 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS PROVIDER NUMBER | 01633089 | 01 |
| IL | RAILROAD MEDICARE GROUP # | CL0737 | 01 |
| Street Address |
6545 W. NORTH AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1578093795 | Sharif M Denden | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304-2807 | 2017-06-20 |
| 1437237534 | Mercado Center for Foot & Ankle Surgery | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-11-02 |
| 1114039369 | Todd M Mack | Podiatrist | 18 Chicago Ave, Oak Park, IL 60302 | 2006-08-31 |
| 1962995753 | Michal Zemela | Podiatrist | 610 S Maple Ave Ste 2550, Oak Park, IL 60304 | 2018-06-07 |
| 1104085083 | Center for Reconstructive Surgery of The Foot Ankle & Leg, Pllc | Podiatrist | 13855 W 9 Mile Rd, Suite C, Oak Park, MI 48237-2775 | 2008-06-05 |
| 1205985108 | S.a.wright Dpm PC | Podiatrist | 24601 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-01-09 |
| 1396806840 | Mary M Disomma | Podiatrist | 1100 Lake St, Suite 248, Oak Park, IL 60301-1015 | 2006-12-12 |
| 1184795239 | Mary Ann Bender | Podiatrist | 6931 North Ave, Oak Park, IL 60302-1053 | 2006-11-12 |
| 1851401293 | Orlando A Mercado | Podiatrist | 6545 North Ave, Oak Park, IL 60302-1020 | 2006-08-30 |
| Find all providers in OAK PARK | ||||
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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.