WILLOW FALLS PODIATRY (NPI# 1730498627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730498627 |
Entity Type | Organization |
Organization Name | WILLOW FALLS PODIATRY |
Practice Address |
16151 Weber Rd Suite 107 Crest Hill IL 60403-0863 |
Mailing Address |
1560 Suncrest Ln Bolingbrook IL 60490-3278 |
Practice Telephone | 8158380282 |
Practice Fax Number | 8152300036 |
Mailing Telephone | 8158380282 |
Mailing Fax Number | 8152300036 |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-09-27 |
Authorized Official Name | CAROLYN WHITFIELD (PODIATRIST) |
Authorized Official Telephone | 6033909810 |
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 |
016003971 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS BLUE SHIELD | 0060001542 | 01 |
IL | 016003971 | 05 |
Street Address |
16151 WEBER RD SUITE 107 |
City | CREST HILL |
State | IL |
Zip Code | 60403-0863 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699878066 | Carolyn Whitfield | Podiatrist | 16151 Weber Rd, Suite 107, Crest Hill, IL 60403-0863 | 2006-09-07 |
1982965539 | Duncan William Hall | Social Worker | 16151 Weber Rd, Suite 101, Crest Hill, IL 60403-0863 | 2012-05-30 |
1811218142 | George Antoine Aghia | Family Medicine | 16151 Weber Rd, Suite 201, Crest Hill, IL 60403-0863 | 2010-06-22 |
1730361320 | Carolyn Whitfield, Dpm, PC | Podiatrist | 16151 Weber Rd, Suite 107, Crest Hill, IL 60403-0863 | 2007-12-05 |
1912114497 | Cynthia M Yarshen | Family Medicine | 16151 Weber Rd, Suite 201, Crest Hill, IL 60403-0863 | 2007-05-16 |
1326193541 | Vinayak Dongre | Family Medicine | 16151 Weber Rd, Ste 201, Crest Hill, IL 60403-0863 | 2007-01-25 |
1457434235 | Javeed Akhter | Pediatrics | 16151 Weber Rd, Suite 101, Crest Hill, IL 60403-0864 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
1508475039 | Hilary Eichie | Nurse Practitioner | 20025 Division St., Crest Hill, IL 60403 | 2020-07-30 |
1982237137 | Jena L. Margis | Counselor | Crossroads Counseling and Care Center, 1520 N. Rock Run Drive, Suite #14, Crest Hill, IL 60403 | 2020-02-17 |
1457845109 | Rachael Wiktor | Physical Therapy Assistant | 16101 Weber Road, Crest Hill, IL 60403 | 2018-06-17 |
1346613718 | Christopher Michael Galloway | Nurse Practitioner | 20660 Caton Farm Road, Unit F, Crest Hill, IL 60403 | 2015-11-07 |
1861758278 | Evaristo Peralta Aguinaldo Jr. | General Practice | 16300 Illinois 53, Crest Hill, IL 60403 | 2012-04-10 |
1366735250 | Jennifer Beckman | Social Worker | 1000 Remington 16151 Weber Road, Suite 101, Cresthill, IL 60403 | 2011-05-25 |
1083911283 | Olufunmilola Ayankoya | Nurse Practitioner | 16830 Il-53, Crest Hill, IL 60403 | 2011-02-24 |
1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
1417105917 | Dolar R Koya Md Sc | Dermatology | 2215 Theodore St, Cresthill, IL 60403 | 2008-09-09 |
Find all providers in zip 60403 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
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 | CREST HILL |
Zip Code | 60403 |
Please comment or provide details below to improve the information on WILLOW FALLS PODIATRY.
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.