BROOKFIELD PODIATRY CENTER (NPI# 1245415850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245415850 |
| Entity Type | Organization |
| Organization Name | BROOKFIELD PODIATRY CENTER |
| Practice Address |
14 S. Addison Street Bensenville IL 60106 |
| Mailing Address |
21041 W Snowberry Ln Plainfield IL 60544-6413 |
| Practice Telephone | 6303908360 |
| Mailing Telephone | 6303908360 |
| Mailing Fax Number | 7084241084 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DR. THOMAS J. MACK (OWNER) |
| Authorized Official Telephone | 6303908360 |
| Is Organization Subpart | Y |
| Parent Organization Name | THOMAS J. MACK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 213E00000X | Podiatrist | 016003689 | IL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3704 Grand Blvd, Brookfield, IL 605131624 | 7083870633 | 7083870638 |
| Street Address |
14 S. ADDISON STREET |
| City | BENSENVILLE |
| State | IL |
| Zip Code | 60106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1679941942 | Sarah Glawe | Physical Therapist | 460 W Irving Park Rd Ste G, Bensenville, IL 60106 | 2015-09-03 |
| 1235538539 | Manu Simon | Pharmacist | 871 Il 83, Bensenville, IL 60106 | 2014-08-22 |
| 1053619916 | Jill C. Mcmahon Dmd, PC | Dentist | 241 S Church Rd, Bensenville, IL 60106 | 2011-03-02 |
| 1821309055 | Monika Claire Robinett | Speech-Language Pathologist | 1000 W. Green Street, Fenton High School, Bensenville, IL 60106 | 2010-06-22 |
| 1861614778 | Nancy E Baarman | Physical Therapist | 1130 Stearns Rd, Bartlett, IL 60106 | 2007-05-02 |
| 1013058379 | Miguel Burgos | Family Medicine | 229 W Grand Avenue, Suite Qw, Bensenville, IL 60106 | 2007-02-09 |
| 1033142484 | Home Medical Express Inc. | Durable Medical Equipment & Medical Supplies | 621 Il Route 83, Suite 101, Bensenville, IL 60106 | 2006-07-09 |
| 1275085003 | Seul Ong Hong | Pharmacist | 871 Illinois Route 83, Bensenville, IL 60106 | 2016-10-27 |
| 1275904427 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1127 S York Rd, Bensenville, IL 60106 | 2015-10-14 |
| Find all providers in zip 60106 | ||||
| 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 |
|---|---|---|---|---|
| 1780696765 | James D Velarde | Podiatrist | 165 N Church Rd, Bensenville, IL 60106-2009 | 2006-08-11 |
| 1851313019 | Rudolph J. Petrich | Podiatrist | 14 S Addison St, Bensenville, IL 60106-2126 | 2006-07-24 |
| 1306451158 | Podiatric Management Systems LLC | Podiatrist | 165 N Church Rd, Bensenville, IL 60106-2009 | 2020-09-09 |
| 1124206834 | Dupage Foot & Ankle Associates | Podiatrist | 14 S Addison St, Bensenville, IL 60106-2126 | 2008-02-05 |
| 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 | ||||
| City | BENSENVILLE |
| Zip Code | 60106 |
Please comment or provide details below to improve the information on BROOKFIELD PODIATRY CENTER.
| 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.