PROFESSIONAL FOOT CARE SPECIALISTS, P.C. (NPI# 1063615557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063615557 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL FOOT CARE SPECIALISTS, P.C. |
| Practice Address |
5241 S Cicero Ave Suite 103 Chicago IL 60632-4967 |
| Practice Telephone | 7732848811 |
| Practice Fax Number | 7732846431 |
| Mailing Telephone | 7732848811 |
| Mailing Fax Number | 7732846431 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MATTHEW GEORGE GAROUFALIS (PRESIDENT) |
| Authorized Official Telephone | 7732848811 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
5241 S CICERO AVE SUITE 103 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-4967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417066689 | Matthew George Garoufalis | Podiatrist | 5241 S Cicero Ave, Suite 103, Chicago, IL 60632-4967 | 2006-08-30 |
| 1063028538 | Podiatric Management Systems LLC | Podiatrist | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2020-09-21 |
| 1750847539 | Vibration Therapy Solutions LLC | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2019-02-15 |
| 1558788760 | Life Gate Pharmacy LLC | Emergency Medicine | 5241 S Cicero Ave, Chicago, IL 60632 | 2014-03-25 |
| 1063838522 | Medical and Rehababilitation Center of Chicago LLC | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2014-03-07 |
| 1255606976 | Advanced Neurological Diagnostics, LLC | Clinic/Center | 5241 S Cicero Ave, Suite 201, Chicago, IL 60632-4967 | 2012-03-13 |
| 1801194279 | Sound Sleep | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2011-03-08 |
| 1912201823 | Advanced Neurological Testing Services LLC | Clinic/Center | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2011-01-06 |
| 1285881003 | Luke Warner Kovatch | Podiatrist | 5241 S Cicero Ave, Ste 103, Chicago, IL 60632-4967 | 2008-08-22 |
| 1649457920 | Pain Management Services Midwest, Ltd. | Chiropractor | 5241 S Cicero Ave, Chicago, IL 60632-4967 | 2008-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1932285509 | Moeed Ekbal | Podiatrist | 2400 N Lakeview Ave Apt 2703, Chicago, IL 60614-2741 | 2006-10-27 |
| 1487677076 | David T Hong | Podiatrist | 180 W Washington St, Suite 930, Chicago, IL 60602-3580 | 2006-07-25 |
| 1952394751 | Johnny Dan Parker | Podiatrist | 8601 S Cottage Grove Ave, Chicago, IL 60619-6107 | 2005-08-26 |
| 1669478640 | Andrew Benedict O'keefe Jr. | Podiatrist | 6374 N Lincoln Ave, Ste 314, Chicago, IL 60659-1275 | 2005-06-23 |
| 1679197644 | Corey Czarnecki | Podiatrist | 5140 N California Ave, Chicago, IL 60625-3645 | 2020-06-04 |
| 1497152516 | My Doctor P C | Podiatrist | 2811 W Greenleaf Ave, Chicago, IL 60645-2913 | 2014-12-04 |
| 1851729370 | Midwest Podiatric Physicians, P.C. | Podiatrist | 1229 N North Branch St, Ste 308, Chicago, IL 60642-2473 | 2013-10-18 |
| 1194062661 | Dr. Kaye Lagdaan, P.C. | Podiatrist | 4112 N Lincoln Ave, Chicago, IL 60618-3028 | 2013-01-03 |
| 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.