FOOTCO ORTHOPEDIC
NPI 1124286927
Durable Medical Equipment & Medical Supplies - Customized Equipment in Chicago, IL

Active since May 28, 2008
3723 N SOUTHPORT AVE, CHICAGO, IL 60613(312) 409-2175 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Footco Orthopedic NPPES

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

FOOTCO ORTHOPEDIC (NPI 1124286927) is a healthcare organization registered as a customized equipment in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Tim Porcelli, Director, Chief Clinician, as its authorized official.

NPPES Registry Identity

NPI1124286927
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameFOOTCO ORTHOPEDIC
Location Address3723 N SOUTHPORT AVEChicago, IL 60613-3718
Mailing AddressPo Box 13377Chicago, IL 60613-0377
Organization SubpartNo
Authorized OfficialTim PorcelliDirector, Chief Clinician · (312) 409-2175
Enumeration DateMay 28, 2008
NPI 1124286927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in IL · 212.000115
3723 N SOUTHPORT AVE, Chicago, IL 60613

Other Identifiers 1

Other1670909IL · Blue Cross

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Pain)
3723 N SOUTHPORT AVE
CHICAGO, IL 60613

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 Footco Orthopedic's NPI number?

The NPI number for Footco Orthopedic is 1124286927. It was assigned to this organization in the NPPES registry on May 28, 2008.

Where is Footco Orthopedic located?

Footco Orthopedic is located at 3723 N Southport Ave, Chicago, IL 60613. The listed phone number is (312) 409-2175.

What is Footco Orthopedic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Footco Orthopedic was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.