ARCHER FOOT CLINIC (NPI# 1700292711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700292711 |
Entity Type | Organization |
Organization Name | ARCHER FOOT CLINIC |
Practice Address |
3113 S Archer Ave Chicago IL 60608-6223 |
Mailing Address |
Po Box 11232 Chicago IL 60611-0232 |
Practice Telephone | 7732849660 |
Practice Fax Number | 7732849676 |
Mailing Telephone | 7732849660 |
Mailing Fax Number | 7732849676 |
Enumeration Date | 2014-07-10 |
Last Update Date | 2014-07-10 |
Authorized Official Name | AMIN MASHOUF (ADMIN) |
Authorized Official Telephone | 7732849660 |
Authorized Official Credential | MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005501 | IL | Podiatric Medicine & Surgery Service Providers |
Street Address |
3113 S ARCHER AVE |
City | CHICAGO |
State | IL |
Zip Code | 60608-6223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
Find all providers in zip 60608 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1346752656 | Prairie Foot & Ankle, P.C. | Podiatrist | 7447 West Talcott Ave, Suite 406, Chicago, IL 60163-3275 | 2017-10-26 |
1558886549 | Castle Podiatry, LLC | Podiatrist | 11628 S Western Ave, Chicago, IL 60643-4730 | 2017-08-10 |
1669854089 | Adam Shapiro | Podiatrist | 3710 N Pine Grove Ave, Chicago, IL 60613-4186 | 2015-06-22 |
1891103925 | Nathan Kramer | Podiatrist | 320 S Ashland Ave Ste 2, Chicago, IL 60607-2856 | 2014-08-01 |
1871909382 | Rashad Sayeed | Podiatrist | 4646 N. Marine Drive, Chicago, IL 60640-0000 | 2014-07-03 |
1275964918 | Aleksandr Komarov Dpm LLC | Podiatrist | 1360 N Lake Shore Dr Apt 708, Chicago, IL 60610-8442 | 2013-12-05 |
1568895043 | Allison Rottman | Podiatrist | 4734 N Beacon St, 2w, Chicago, IL 60640-4847 | 2013-08-19 |
1710328224 | Paul Gregory Lantz | Podiatrist | 5758 S Maryland Ave # Nc9015, Chicago, IL 60637-1426 | 2013-07-12 |
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.