RAFATI FOOT AND ANKLE CLINIC LLC (NPI# 1104338516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104338516 |
Entity Type | Organization |
Organization Name | RAFATI FOOT AND ANKLE CLINIC LLC |
Practice Address |
7604 W 63rd St Summit IL 60501-1812 |
Mailing Address |
9340 Lochwood Pl Tinley Park IL 60487-4797 |
Practice Telephone | 2196886292 |
Mailing Telephone | 2196886292 |
Enumeration Date | 2017-10-26 |
Last Update Date | 2017-10-26 |
Authorized Official Name | MURAD ABDEL-QADER (OWNER) |
Authorized Official Telephone | 2196886292 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005230 | IL | Podiatric Medicine & Surgery Service Providers |
Y | 213E00000X | Podiatrist | 016005230 | IL | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457862609 | Rafati Foot and Ankle Clinic LLC | Podiatrist | 3330 W 177th St Ste 3a, Hazel Crest, IL 60429-2193 | 2017-10-16 |
1336352095 | Rafati Foot and Ankle Clinic LLC | Podiatrist | 9340 Lochwood Pl, Tinley Park, IL 60487-4797 | 2007-05-08 |
1588175749 | Rafati Foot and Ankle Clinic LLC | Podiatrist | 815 N Larkin Ave Ste 100, Joliet, IL 60435-3449 | 2017-10-16 |
Street Address |
7604 W 63RD ST |
City | SUMMIT |
State | IL |
Zip Code | 60501-1812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295813996 | Nazeer Shaik | Internal Medicine | 7604 W 63rd St, Summit, IL 60501-1812 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225520166 | Erin Elizabeth Mcquinn | Dentist | 7336 W Archer Ave, Summit, IL 60501 | 2018-06-06 |
1639680515 | Heather Weigel | Psychologist | 6021 S. 74th Avenue, Summit, IL 60501 | 2017-10-18 |
1831568401 | Crystal Epps | Social Worker | 74550 W 63rd Street, Summit, IL 60501 | 2015-09-24 |
1013199603 | Carolyn M Para | Counselor | 7420 Archer Avenue, Summit, IL 60501 | 2007-12-05 |
1528183589 | Summit Sch Dist 104 | Clinic/Center | 60th Street & 74th Ave, Summit, IL 60501 | 2007-03-20 |
1861526071 | Argo Comm Hs Dist 217 | Clinic/Center | 7329 W 63rd Street, Summit, IL 60501 | 2007-03-16 |
1831250745 | Joel C Waliczek | Case Manager/Care Coordinator | 7420 S Archer Ave, Summit, IL 60501 | 2006-12-13 |
1649330143 | Annemarie Luperini | Counselor | 7420 Archer Ave, Summit, IL 60501 | 2006-12-12 |
1508931163 | Mark Anthony Maciuszek | Counselor | 7424 Archer Rd, Summit, IL 60501 | 2006-11-21 |
1396826582 | James E Delgenio | Counselor | 7420 W Archer Ave, Summit, IL 60501 | 2006-10-17 |
Find all providers in zip 60501 |
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 |
---|---|---|---|---|
1356342992 | Marc Mitnick | Podiatrist | 360 Springfield Ave, Summit, NJ 07901-4608 | 2005-08-04 |
1467641258 | Mark J. Gagnon, Ltd | Podiatrist | 7355 Archer Ave, Suite D, Summit, IL 60501-1225 | 2007-10-17 |
1043261282 | Mark James Gagnon | Podiatrist | 7355 Archer Ave, Unit D, Summit, IL 60501-1225 | 2006-05-12 |
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 |
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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.