PRAIRIE PATH PODIATRY, P.C. (NPI# 1639455470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639455470 |
| Entity Type | Organization |
| Organization Name | PRAIRIE PATH PODIATRY, P.C. |
| Practice Address |
4 S 6th St Geneva IL 60134-2163 |
| Practice Telephone | 6308453338 |
| Practice Fax Number | 6308450557 |
| Mailing Telephone | 6308453338 |
| Mailing Fax Number | 6308450557 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | PETER C. TSANG (PRESIDENT) |
| Authorized Official Telephone | 6308453338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016004771 | IL | Ambulatory Health Care Facilities |
| Street Address |
4 S 6TH ST |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| 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 |
| 1902194673 | Ambulatory Medical Ltd | Clinic/Center | 24103 W Lockport St Ste 103, Suite 103, Plainfield, IL 60544-1722 | 2011-07-15 |
| 1194043539 | True Care Foot and Ankle Institute PC | Clinic/Center | 9500 W Lincoln Hwy, Unit 6, Frankfort, IL 60423-1939 | 2010-05-10 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1346407301 | Berwyn Foot & Ankle Center | Clinic/Center | 3100 South Oak Park Ave, Berwyn, IL 60402-3031 | 2008-05-19 |
| 1639343049 | The Medical & Surgical Center of Illinois | Clinic/Center | 3818 Nottingham Dr, Long Grove, IL 60047-5240 | 2008-04-16 |
| 1245415850 | Brookfield Podiatry Center | Clinic/Center | 14 S. Addison Street, Bensenville, IL 60106 | 2008-01-02 |
| 1700099868 | Dr. David F. Bowers P.C. | Clinic/Center | 2100 N Us Highway 12, Ste 201, Spring Grove, IL 60081-8308 | 2007-05-07 |
| 1457423683 | Park Medical & Surgical Plaza | Clinic/Center | 2621 N Halsted St, Chicago, IL 60614-2301 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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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.