FOX VALLEY PODIATRISTS OF MCHENRY COUNTY (NPI# 1851405716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851405716 |
| Entity Type | Organization |
| Organization Name | FOX VALLEY PODIATRISTS OF MCHENRY COUNTY |
| Practice Address |
650 Dakota St Suite B Crystal Lake IL 60012-3744 |
| Practice Telephone | 8157888680 |
| Practice Fax Number | 8157888746 |
| Mailing Telephone | 8157888680 |
| Mailing Fax Number | 8157888746 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTINE LEANN HECK (PHYSICIAN) |
| Authorized Official Telephone | 8157888680 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers | |
| N | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers | |
| N | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers | |
| Y | 213E00000X | Podiatrist | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 5632093 | 01 |
| Street Address |
650 DAKOTA ST SUITE B |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476311 | Fox Valley Internal Medicine, LLC | Physical Therapist | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2005-09-09 |
| 1922374024 | Jonathan Huang | Internal Medicine | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2012-03-23 |
| 1215263066 | Ambassador Hospital Care, LLC | Hospitalist | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2009-10-29 |
| 1447403852 | Nephrology Associates of Northern Illinois | Internal Medicine | 650 Dakota St, Suite C, Crystal Lake, IL 60012-3744 | 2008-10-29 |
| 1730203266 | Sowjanya Pinnamaneni | Physical Therapist | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2007-03-19 |
| 1265543557 | Kathi Lyne Bliler | Physician Assistant | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2006-08-31 |
| 1922053149 | Amanda K. Hollensbe | Physical Therapist | 650 Dakota St, Crystal Lake, IL 60012-3744 | 2006-05-24 |
| 1861443236 | Carol Sue Letner | Physical Therapist | 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| 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 |
|---|---|---|---|---|
| 1770592636 | Tracy Ellington | Podiatrist | 650 Dakota, Suite B, Fox Valley Podiatry of Mchenry Country, Crystal Lake, IL 60012 | 2006-08-07 |
| 1265411813 | Rahil Baxamusa Dpm | Podiatrist | 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014-7561 | 2006-01-12 |
| 1437138088 | Rahil Baxamusa | Podiatrist | 411 E Congress Pkwy Ste B, Crystal Lake, IL 60014 | 2006-01-12 |
| 1447259080 | Timothy T Jantz | Podiatrist | 388 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2005-07-15 |
| 1467972497 | Joseph George Wilson | Podiatrist | 750 E Terra Cotta Ave Ste C, Crystal Lake, IL 60014-3621 | 2017-06-21 |
| 1083702146 | Cheryl R Brown, PC | Podiatrist | 1520 Carlemont Dr Ste M, Crystal Lake, IL 60014-1836 | 2006-10-11 |
| 1265411839 | Robert F Patte Dpm | Podiatrist | 460 Coventry Lane, Ste 103, Crystal Lake, IL 60014-7561 | 2006-01-12 |
| 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 | CRYSTAL LAKE |
| Zip Code | 60012 |
Please comment or provide details below to improve the information on FOX VALLEY PODIATRISTS OF MCHENRY COUNTY.
| 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.