DUPAGE FOOT AND ANKLE, LLC (NPI# 1841639069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841639069 |
| Entity Type | Organization |
| Organization Name | DUPAGE FOOT AND ANKLE, LLC |
| Practice Address |
1525 N Main St Wheaton IL 60187-3583 |
| Practice Telephone | 6305383668 |
| Practice Fax Number | 6304807423 |
| Mailing Telephone | 6305383668 |
| Mailing Fax Number | 6304807423 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | DONALD E NICHOLS II (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6308428891 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016-004441 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 016-004441 | 01 |
| IL | 016004441 | 05 | |
| IL | DEA | BN2320896 | 01 |
| Street Address |
1525 N MAIN ST |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-3583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871560235 | Donald E Nichols IIi | Podiatrist | 1525 N Main St, Wheaton, IL 60187-3583 | 2006-03-03 |
| 1073902474 | Dupage Foot and Ankle LLC | Podiatrist | 1525 N Main St, Wheaton, IL 60187-3583 | 2015-01-22 |
| 1093020695 | Sajel Alreja | Physical Therapist | 1525 N Main St, Wheaton, IL 60187-3583 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438784 | Silver Spring Podiatry Center | Clinic/Center | 2730 University Blvd W, Suite 1000, Wheaton, MD 20902-1905 | 2007-01-04 |
| 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 |
| 1639455470 | Prairie Path Podiatry, P.C. | Clinic/Center | 4 S 6th St, Geneva, IL 60134-2163 | 2011-10-25 |
| 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 |
| 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.