PODIATRY CENTER, SC (NPI# 1548381825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548381825 |
| Entity Type | Organization |
| Organization Name | PODIATRY CENTER, SC |
| Practice Address |
30 N Michigan Ave Suite 1129 Chicago IL 60602-3402 |
| Practice Telephone | 3123720919 |
| Mailing Telephone | 3123720919 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DR. JOHN M. WRAY (PRESIDENT) |
| Authorized Official Telephone | 3123720919 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265607816 | Podiatry Center, Sc | Clinic/Center | 424 75th St, Downers Grove, IL 60516-4454 | 2008-04-24 |
| Street Address |
30 N MICHIGAN AVE SUITE 1129 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070743 | Kenneth A Krebs | Dentist | 30 N Michigan Ave, Ste 822, Chicago, IL 60602-3805 | 2005-06-01 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| 1447876099 | Shawnte F Bennett | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-06-19 |
| 1871112417 | Vulnus & Cura Psychotherapy LLC | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-04-14 |
| 1962034579 | Joey Rea | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-02-11 |
| 1649824558 | Rachel Casey | Marriage & Family Therapist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2019-07-29 |
| 1316437809 | Aimee Dokko Osborne | Counselor | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2018-05-10 |
| 1396257366 | Elizabeth Ashley Aram | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-10-31 |
| 1396279287 | Marlene Cervantes | Social Worker | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-04-18 |
| 1528508744 | Darlene Perry | Psychologist | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2017-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1457423683 | Park Medical & Surgical Plaza | Clinic/Center | 2621 N Halsted St, Chicago, IL 60614-2301 | 2006-11-14 |
| 1841389830 | Logan Square Foot Center | Clinic/Center | 2831 N Milwaukee Ave., Chicago, IL 60618-7403 | 2006-10-11 |
| 1811965635 | Northwest Ambucare | Clinic/Center | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2006-03-08 |
| 1366083032 | Ramin Ghazizadeh | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-10-03 |
| 1285107540 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
| 1073921193 | Dr. Jeremy Schwartz Dpm LLC | Clinic/Center | 525 W Hawthorne Pl, #3003, Chicago, IL 60657-2907 | 2014-08-01 |
| 1508031295 | Crawford Surgicare | Clinic/Center | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2008-04-24 |
| 1427245141 | Charlotte M. Covello, Dpm,llc | Clinic/Center | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | 2007-09-26 |
| 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.