FOOT & ANKLE CENTER OF ILLINOIS PC (NPI# 1598058547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598058547 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CENTER OF ILLINOIS PC |
| Practice Address |
2921 Montvale Dr Springfield IL 62704-5359 |
| Practice Telephone | 2177872700 |
| Practice Fax Number | 2177872715 |
| Mailing Telephone | 2177872700 |
| Mailing Fax Number | 2177872715 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MR. JOHN MICHAEL SIGLE (PRESIDENT) |
| Authorized Official Telephone | 2177872700 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016005201 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 016005201 | 05 | |
| RAILROAD MEDICARE | P00145756 | 01 |
| Street Address |
2921 MONTVALE DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174502868 | John M Sigle | Podiatrist | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2006-01-11 |
| 1760876999 | Patricia Ann Dennison | Specialist/Technologist, Other | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2015-03-25 |
| 1164856704 | Grant Wilson Gonzalez | Podiatrist | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2013-08-31 |
| 1164655452 | Shy L Wagoner | Specialist/Technologist, Other | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2009-09-02 |
| 1841477247 | Springfield Neurosurgical Assocaites, S.c. | Surgery | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766863 | Patrick Anderson Mcshane | Podiatrist | 1834 S Stewart Ave, Springfield, MO 65804-2519 | 2006-11-14 |
| 1174502868 | John M Sigle | Podiatrist | 2921 Montvale Dr, Springfield, IL 62704-5359 | 2006-01-11 |
| 1265413355 | Robert A Fleischner | Podiatrist | 1795 Main Street, Suite 106, Springfield, MA 01103-1068 | 2005-11-07 |
| 1871048462 | Benjamin C. Dickert | Podiatrist | 780 Chestnut St, Suite 8, Springfield, MA 01107-1637 | 2016-08-24 |
| 1538177746 | Mildred Sartee Prah | Podiatrist | 7440 Spring Village Dr, Springfield, VA 22150-4446 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558703298 | Audey Nasser | Podiatrist | 1475 E Belvidere Rd Ste 202, Grayslake, IL 60030-2015 | 2013-07-23 |
| 1588008692 | Podiatry Care, Inc | Podiatrist | 832 Old Checker Rd, Buffalo Grove, IL 60089-1689 | 2013-04-19 |
| 1952600058 | Magdala Danielle Lafontant | Podiatrist | 6374 N Lincoln Ave Ste 205, Chicago, IL 60659-1283 | 2011-03-15 |
| 1679760821 | Foot and Ankle Inc | Podiatrist | 14539 S Stirrup Ct, Homer Glen, IL 60491-9297 | 2007-10-02 |
| 1255548202 | Dr. Robert L. Baron | Podiatrist | 60 Main St., Suite A, Oswego, IL 60543-8594 | 2007-05-17 |
| 1780801548 | Edgewater Beach Foot and Ankle Center, P.C. | Podiatrist | 5331 N Sheridan Rd, Chicago, IL 60640-2531 | 2007-04-20 |
| 1841310760 | Jeffrey Garrard | Podiatrist | 6225 Dempster St, Morton Grove, IL 60053-2818 | 2007-04-02 |
| 1255468054 | Michael Anthony Walsh | Podiatrist | 9806 Grand Ave, Franklin Park, IL 60131-2679 | 2007-02-27 |
| 1659407781 | Martin Bruce Nead | Podiatrist | 1014 E St, Charleston, IL 61920-2524 | 2007-02-25 |
| 1821123977 | Brian J Reilly | Podiatrist | 2402 E Oakland Ave, Suite 5, Bloomington, IL 61701-5828 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on FOOT & ANKLE CENTER OF ILLINOIS 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.