PROFESSIONAL FOOT CARE SPECIALISTS, P.C.
NPI 1063615557
Podiatrist - Primary Podiatric Medicine in Chicago, IL
NPI Status: Active since June 11, 2007
Contact Information
5241 S CICERO AVE
SUITE 103
CHICAGO, IL
ZIP 60632
Phone: (773) 284-8811
Fax: (773) 284-6431
- Organization
- Podiatrist
- Primary Podiatric Medicine
- CLIA Number: 14D1015491
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-10-2027
About PROFESSIONAL FOOT CARE SPECIALISTS, P.C.
This page provides the complete NPI Profile along with additional information for Professional Foot Care Specialists, P.c., a provider established in Chicago, Illinois operating as a Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1063615557 assigned on June 2007. The practitioner's primary taxonomy code is 213EP1101X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Matthew George Garoufalis Dpm (President)
- NPI
- 1063615557
- Provider Name
- PROFESSIONAL FOOT CARE SPECIALISTS, P.C.
- Entity Type
- Organization
- Location Address
- 5241 S CICERO AVE SUITE 103 CHICAGO, IL 60632
- Location Phone
- (773) 284-8811
- Location Fax
- (773) 284-6431
- Mailing Address
- 5241 S CICERO AVE SUITE 103 CHICAGO, IL 60632
- Mailing Phone
- (773) 284-8811
- Mailing Fax
- (773) 284-6431
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2007
- Last Update Date
- 07-15-2008
- Code Navigator
A podiatrist like Professional Foot Care Specialists, P.c. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Primary Podiatric Medicine
- Taxonomy Code
- 213EP1101X
- Type
- Podiatric Medicine & Surgery Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1055170001 | MEDICARE NSC (07) | IL | |
| 211509 | MEDICARE PIN (08) | IL | |
| 211512 | MEDICARE PIN (08) | IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1015491
- Facility Type
- Physician Office
- Certificate Effective Date
- April 11, 2025
- Certificate Expiration Date
- April 10, 2027
- Laboratory Director
- JESSE PLASENCIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Professional Foot Care Specialists, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063615557, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
CHICAGO, IL 60632
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063615557, enumerated as an "organization" on June 11, 2007.
The provider is located at 5241 S CICERO AVE SUITE 103 CHICAGO, IL 60632 and the phone number is (773) 284-8811.
Podiatrist with taxonomy code 213EP1101X and a focus in Primary Podiatric Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
