PREFERRED PODIATRY GROUP PC (NPI# 1417137613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417137613 |
| Entity Type | Organization |
| Organization Name | PREFERRED PODIATRY GROUP PC |
| Practice Address |
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601 |
| Mailing Address |
Po Box 917 Northbrook IL 60065-0917 |
| Practice Telephone | 8475045000 |
| Practice Fax Number | 8475045015 |
| Mailing Telephone | 8475045000 |
| Mailing Fax Number | 8475045015 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MRS. MELANIE S MICHAEL (GENERAL COUNSEL) |
| Authorized Official Telephone | 8475045002 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREFERRED PODIATRY GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | C12116 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1134576143 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1871940882 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1093175978 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-03-04 |
| 1043689896 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-09-23 |
| 1699165647 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-01-29 |
| 1922421213 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1316360613 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1881017184 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1699198994 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| Street Address |
40 SKOKIE BLVD STE 520 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921483 | Joseph S. Borreggine | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2005-06-02 |
| 1588206262 | Preferred Podiatry Group of Kansas LLC | Durable Medical Equipment & Medical Supplies | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2019-10-14 |
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1134576143 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1871940882 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-05-19 |
| 1093175978 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2016-03-04 |
| 1043689896 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-09-23 |
| 1699165647 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2015-01-29 |
| 1922421213 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| 1316360613 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2014-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1144336066 | Roger T Zeratsky | Podiatrist | 425 Huehl Rd # 13, Northbrook, IL 60062-2319 | 2006-08-22 |
| 1437195567 | Ryan James Jorgenson | Podiatrist | Preferred Podiatry Group, 425 Huehl Road #13, Northbrook, IL 60062 | 2006-06-20 |
| 1962443507 | Philip Lawrence Searby | Podiatrist | 425 Huehl. #13, Preferred Podiatry Group, Northbrook, IL 60062 | 2006-06-08 |
| 1487609947 | Ronald Nasadowski | Podiatrist | 425 Huehl Rd #13, Northbrook, IL 60062-2322 | 2006-05-23 |
| 1124089479 | Absolute Foot and Ankle Clinic Ltd | Podiatrist | 3546 N Milwaukee Ave, Northbrook, IL 60062 | 2006-03-28 |
| 1235120452 | Alan S. Rothstein | Podiatrist | 425 Huehl Rd Unit 13, Northbrook, IL 60062-2319 | 2005-11-04 |
| 1649267311 | John Christian Sorensen Jr. | Podiatrist | 425 Huehl Rd, Northbrook, IL 60062-2319 | 2005-09-28 |
| 1194725523 | Jacob W Greenspan | Podiatrist | 350 Oak Knoll Ter, Northbrook, IL 60062-1048 | 2005-07-28 |
| 1174060917 | Preferred Podiatry Group PC | Podiatrist | 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 | 2017-01-31 |
| 1760835854 | Sarah Kathleen Sweeney | Podiatrist | 425 Huehl Rd, Unit 13, Northbrook, IL 60062-2319 | 2016-07-13 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on PREFERRED PODIATRY GROUP PC.
| 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.