MCLEAN FOOT CLINIC PC (NPI# 1952615114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952615114 |
| Entity Type | Organization |
| Organization Name | MCLEAN FOOT CLINIC PC |
| Practice Address |
552 N Mclean Blvd Elgin IL 60123-3242 |
| Practice Telephone | 8479317066 |
| Practice Fax Number | 8479317726 |
| Mailing Telephone | 8479317066 |
| Mailing Fax Number | 8479317726 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | DR. IRSHAD AHMED SIDDIQUE (PRESIDENT) |
| Authorized Official Telephone | 8479317066 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016004398 | IL | Ambulatory Health Care Facilities |
| Street Address |
552 N MCLEAN BLVD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124120381 | Mumtaz Ahmed Siddique | Dentist | 552 N Mclean Blvd, Elgin, IL 60123 | 2006-09-01 |
| 1295122539 | Mclean Dental Clinic, P.C. | Clinic/Center | 552 N Mclean Blvd, Elgin, IL 60123-3242 | 2015-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669898326 | Chicago Podiatric Surgeons, PC | Clinic/Center | 1590 Weatherstone Ln, Elgin, IL 60123-2059 | 2014-03-05 |
| 1801067350 | Foot First Podiatry II | Clinic/Center | 2410 Alft Ln, Suite 100, Elgin, IL 60124-7843 | 2008-03-12 |
| 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.