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PODIATRIC MANAGEMENT SYSTEMS LLC
NPI 1396968053
Podiatrist - Primary Podiatric Medicine in Lake Zurich, IL

Active since April 11, 2007
765 ELA RD, LAKE ZURICH, IL 60047(847) 540-9949(847) 540-9971 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2020, Jun 24, 2020, Feb 14, 2020 (3 updates tracked since 2020).

About Podiatric Management Systems Llc NPPES

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

PODIATRIC MANAGEMENT SYSTEMS LLC (NPI 1396968053) is a healthcare organization registered as a primary podiatric medicine in Lake Zurich, Illinois and active in the NPI registry since April 2007. The organization maintains 2 additional practice locations and lists Patrice Cooper, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396968053
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NamePODIATRIC MANAGEMENT SYSTEMS LLC
Location Address765 ELA RDLake Zurich, IL 60047-2385
Mailing Address70 E Lake St Ste 1102Chicago, IL 60601-7499 · (312) 372-1160 · Fax (312) 372-3346
Phone(847) 540-9949
Fax(847) 540-9971
Organization SubpartNo
Authorized OfficialPatrice CooperAdministrator · (312) 372-1160
Enumeration DateApril 11, 2007
Last NPPES UpdateSeptember 2, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1396968053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
765 ELA RD, Lake Zurich, IL 60047
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Secondary Practice Locations 2

Location 130 S Michigan Ave, Suite 503Chicago, IL 60603-3211 · Phone (312) 372-1160 · Fax (312) 372-3346
Location 2183 W 1st StElmhurst, IL 60126-2815 · Phone (630) 530-3338 · Fax (630) 560-6402

Other Identifiers 2

Other90001026IN · Bcbs Provider Number
Other1621423IL · Bcbs Provider Number

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.

MARY K. RINDER
Radiologic Technologist (Radiography)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181
IATGW
Chiropractor
765 ELA RD, SUITE 105
LAKE ZURICH, IL 60047
Lake County (847) 550-1115
EDWIN R. WILLGRESS M.D.
Radiology (Diagnostic Radiology)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181
PAUCHURU PRASADARAO M.D.
Radiology (Diagnostic Radiology)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181
GEORGE CASSIDY M.D.
Radiology (Diagnostic Radiology)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181
KRISTINE N. STACY
Radiologic Technologist (Nuclear Medicine Technology)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181
KIMBERLY D WOOD LPC
Counselor (Professional)
765 ELA RD, SUITE 211
LAKE ZURICH, IL 60047
Lake County (847) 550-0395
MYRON KIRSHENBAUM M.D.
Radiology (Diagnostic Radiology)
765 ELA RD, SUITE 305
LAKE ZURICH, IL 60047
Lake County (847) 438-0181

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 Podiatric Management Systems LLC's NPI number?

The NPI number for Podiatric Management Systems LLC is 1396968053. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Podiatric Management Systems LLC located?

Podiatric Management Systems LLC is located at 765 Ela Rd, Lake Zurich, IL 60047. The listed phone number is (847) 540-9949.

What is Podiatric Management Systems LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Podiatric Management Systems LLC was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.