FOOTCARE CLINIC P.C.
NPI 1023268901
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Active since September 26, 2008
4040 W PETERSON AVE, CHICAGO, IL 60646(773) 267-0554(773) 267-6258 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Footcare Clinic P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTCARE CLINIC P.C. (NPI 1023268901) is a healthcare organization registered as a foot & ankle surgery in Chicago, Illinois and active in the NPI registry since September 2008. The organization lists Tegan Augustine Thimesch, President, as its authorized official.

NPPES Registry Identity

NPI1023268901
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDR TEGAN A TIMESH FOOTCARE CLINIC P.C.
Location Address4040 W PETERSON AVEChicago, IL 60646-6019
Mailing Address4040 W Peterson AveChicago, IL 60646-6019 · (773) 267-0554 · Fax (773) 267-6258
Fax(773) 267-6258
Organization SubpartNo
Authorized OfficialTegan Augustine ThimeschPresident · (773) 267-0554
Enumeration DateSeptember 26, 2008
Last NPPES UpdateFebruary 23, 2010
✔ NPI 1023268901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
4040 W PETERSON AVE, Chicago, IL 60646

Other Names 1

Other NameFootcare Clinic P.c.

Other Identifiers 1

Medicare NSC0980410001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Footcare Clinic P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Footcare Clinic P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1376511287
4040 W PETERSON AVE
Chicago, IL 60646
(773) 267-0554
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Tegan A Timesh Footcare Clinic P.C.'s NPI number?

The NPI number for Dr Tegan A Timesh Footcare Clinic P.C. is 1023268901. It was assigned to this organization in the NPPES registry on September 26, 2008. The provider is also known as Footcare Clinic P.C..

Where is Dr Tegan A Timesh Footcare Clinic P.C. located?

Dr Tegan A Timesh Footcare Clinic P.C. is located at 4040 W Peterson Ave, Chicago, IL 60646. The listed phone number is (773) 267-0554.

What is Dr Tegan A Timesh Footcare Clinic P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Dr Tegan A Timesh Footcare Clinic P.C. enrolled in Medicare?

Yes. Dr Tegan A Timesh Footcare Clinic P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Tegan A Timesh Footcare Clinic P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dr Tegan A Timesh Footcare Clinic P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Tegan A Timesh Footcare Clinic P.C. was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.