DISOMMA FOOT & ANKLE CLINIC PC
NPI 1285621235
Podiatrist in Oak Park, IL

Active since October 04, 2005
1100 LAKE ST, STE 248, OAK PARK, IL 60301(708) 383-5554(708) 383-9321 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Disomma Foot & Ankle Clinic Pc NPPES

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

DISOMMA FOOT & ANKLE CLINIC PC (NPI 1285621235) is a healthcare organization registered as a podiatrist in Oak Park, Illinois and active in the NPI registry since October 2005. The organization lists Mary M Disomma, President, as its authorized official.

NPPES Registry Identity

NPI1285621235
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameDISOMMA FOOT & ANKLE CLINIC PC
Location Address1100 LAKE ST, STE 248Oak Park, IL 60301-1015
Mailing Address1100 Lake St, Ste 248Oak Park, IL 60301-1015 · (708) 383-5554 · Fax (708) 383-9321
Fax(708) 383-9321
Organization SubpartNo
Authorized OfficialMary M DisommaPresident · (708) 383-5554
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 17, 2013
NPI 1285621235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses Licensed in IL · 060007223 Licensed in IL · 016004585
Definition
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.
1100 LAKE ST, Oak Park, IL 60301

Other Identifiers 3

Medicaid016004585IL
Medicare UPINU36162
Medicare PIN211489IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1100 LAKE ST, SUITE 35
OAK PARK, IL 60301
Psychologist (Clinical)
1100 LAKE ST
OAK PARK, IL 60301
Social Worker (Clinical)
1100 LAKE ST
OAK PARK, IL 60301
Case Manager/Care Coordinator
1100 LAKE ST
OAK PARK, IL 60301
Music Therapist
1100 LAKE ST
OAK PARK, IL 60301
Social Worker (Clinical)
1100 LAKE ST, SUITE 175
OAK PARK, IL 60301
Internal Medicine
1100 LAKE ST, STE LL40
OAK PARK, IL 60301
Obstetrics & Gynecology (Gynecology)
1100 LAKE ST, SUITE 260
OAK PARK, IL 60301

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 Disomma Foot & Ankle Clinic PC's NPI number?

The NPI number for Disomma Foot & Ankle Clinic PC is 1285621235. It was assigned to this organization in the NPPES registry on October 4, 2005.

Where is Disomma Foot & Ankle Clinic PC located?

Disomma Foot & Ankle Clinic PC is located at 1100 Lake St Ste 248, Oak Park, IL 60301. The listed phone number is (708) 383-5554.

What is Disomma Foot & Ankle Clinic PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Disomma Foot & Ankle Clinic PC was last updated on July 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.