MERCADO FOOT AND ANKLE CLINICS (NPI# 1265430730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265430730 |
| Entity Type | Organization |
| Organization Name | MERCADO FOOT AND ANKLE CLINICS |
| Practice Address |
4143 Sauk Trl Richton Park IL 60471-1253 |
| Practice Telephone | 7087483337 |
| Practice Fax Number | 7087473338 |
| Mailing Telephone | 7087483337 |
| Mailing Fax Number | 7087473338 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MICHAEL JAMES SMITH (PODIATRIST/OWNER/PARTNER) |
| Authorized Official Telephone | 7087483337 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 1634248 | 01 | |
| AETNA | 705352L | 01 | |
| GBA RAILROAD | P00145458 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659510865 | Mercado Foot and Ankle Clinics | Podiatrist | 3245 Grove Ave Ste 101102, Berwyn, IL 60402-3474 | 2009-02-11 |
| Street Address |
4143 SAUK TRL |
| City | RICHTON PARK |
| State | IL |
| Zip Code | 60471-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377240 | Petrina Jackson | Chiropractor | 4143 Sauk Trl, Richton Park, IL 60471-1253 | 2019-10-10 |
| 1659451870 | Michael J Smith | Podiatrist | 4143 Sauk Trl, Richton Park, IL 60471-1253 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119501 | Welllife Behavioral Services, LLC | Social Worker | 4137 Sauk Trail, Suite 100, Richton Park, IL 60471 | 2018-10-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1689049744 | Lauren Michelle Jackson | Counselor | 1046 Lioncrest Drive, Richton Park, IL 60471 | 2015-12-01 |
| 1326420092 | Denny's Health Care Services Inc | In Home Supportive Care | 4912 Arquilla Drive, Richton Park, IL 60471 | 2015-06-18 |
| 1538312475 | Illinois Behavioral Services Inc | Psychologist | 276 E 16th Street, Chicago Heights, IL 60471 | 2008-10-23 |
| 1588876601 | Getting To Know Me & My World | Home Health | 22006 Jordan Lane, Richton Park, IL 60471 | 2007-05-03 |
| 1982711990 | Camille Yolanda Humes | Counselor | 4511 Sauk Trail, Richton Park, IL 60471 | 2006-08-24 |
| 1003329657 | Elizabeth Eileen Mcelligott | Speech-Language Pathologist | 5000 Sauk Trl, Richton Park, IL 60471-1000 | 2017-11-06 |
| 1629083811 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2006-07-29 |
| 1811267933 | Dwayne Kerry Hall | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2012-01-05 |
| Find all providers in zip 60471 | ||||
| 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 |
|---|---|---|---|---|
| 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 | RICHTON PARK |
| Zip Code | 60471 |
Please comment or provide details below to improve the information on MERCADO FOOT AND ANKLE CLINICS.
| 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.