EASTERN PODIATRY PLLC (NPI# 1760723936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760723936 |
| Entity Type | Organization |
| Organization Name | EASTERN PODIATRY PLLC |
| Practice Address |
8080 S Harlem Ave Bridgeview IL 60455-1570 |
| Mailing Address |
2635 W Jarlath St Chicago IL 60645-1422 |
| Practice Telephone | 7189725000 |
| Mailing Telephone | 7189725000 |
| Mailing Fax Number | 7189723774 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | DR. ALAN TAJERSTEIN (OWNER) |
| Authorized Official Telephone | 7189725000 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005549 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942526 | Eastern Podiatry Pllc | Podiatrist | 601 E Polk St, Washington, IA 52353-1238 | 2018-02-14 |
| 1376075531 | Eastern Podiatry Pllc | Podiatrist | 620 W Strub Rd, Sandusky, OH 44870-5779 | 2017-03-28 |
| 1215487277 | Eastern Podiatry Pllc | Podiatrist | 1800 New York Ave, Superior, WI 54880-2008 | 2016-10-13 |
| 1235433327 | Eastern Podiatry Pllc | Podiatrist | 620 Montgomery St, Jersey City, NJ 07302-3130 | 2011-01-04 |
| 1659687952 | Eastern Podiatry Pllc | Podiatrist | 1 Eastern Blvd, Essex, MD 21221-7016 | 2010-08-24 |
| 1467768838 | Eastern Podiatry Pllc | Podiatrist | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2010-08-24 |
| 1821227299 | Eastern Podiatry Pllc | Podiatrist | 1335 54th St, Brooklyn, NY 11219-4220 | 2009-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | EASTERN PODIATRY PLLC | 2802 Avenue P, Brooklyn, New York 11229 |
| Iowa Business Entities | EASTERN PODIATRY PLLC | 2802 Ave P, Brooklyn, NY 11229 |
| New York State Corporations | EASTERN PODIATRY PLLC | 2802 Avenue P, Brooklyn, Ny 11229 |
| Street Address |
8080 S HARLEM AVE |
| City | BRIDGEVIEW |
| State | IL |
| Zip Code | 60455-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740415090 | Moraine Court, Ltd. | Assisted Living Facility | 8080 S Harlem Ave, Bridgeview, IL 60455-1570 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675907 | Hanin R Ahmad | Optometrist | 430 Village Center Dr., Burr Ridge, IL 60455 | 2017-08-16 |
| 1467975243 | Magdi Ibrahim | Dentist | 7236 W 87th St, Brideview, IL 60455 | 2017-07-24 |
| 1649529736 | Elmusa Chiropractic, Inc. | Chiropractor | 7271 W. 87th St., Bridgeview, IL 60455 | 2012-09-05 |
| 1962762476 | Ahmad Abuatiyeh | Pharmacist | 7807 S. Sholer Ave, Bridgeview, IL 60455 | 2012-05-18 |
| 1700174059 | Albert Steele Smith | Occupational Therapist | 8540 Harlem, Bridgeview, IL 60455 | 2011-07-20 |
| 1295057073 | Heather Vargo Ballack | Pharmacist | 7235 W. 79th Street, Bridgeview, IL 60455 | 2010-02-22 |
| 1184878936 | Rhonda I Khouri,d.d.s/p.s | Dentist | 7257 W. 87th Street, Bridgeview, IL 60455 | 2008-11-06 |
| 1932380649 | Reems Clinic & Institute of Medicine S.c. | Internal Medicine | 7251 W 87th Street, Bridgeview, IL 60455 | 2007-11-21 |
| 1417050311 | Frederick John Kahle | Optometrist | 10260 S. Harlem Ave, Wal-mart Vision Center, Bridgeview, IL 60455 | 2006-09-06 |
| 1013926856 | Occupational Health Centers of Illinois PC | Clinic/Center | 8755 South Harlem Avenue, Bridgeview, IL 60455 | 2006-08-07 |
| Find all providers in zip 60455 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386944031 | Precious Home Foot Care Inc. | Podiatrist | 7255 W 87th St, Bridgeview, IL 60455-1821 | 2010-10-28 |
| 1568709376 | Precious Home Foot Care Inc | Podiatrist | 7255 W 87th St, Bridgeview, IL 60455-1821 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEVIEW |
| Zip Code | 60455 |
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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.