ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC
NPI 1508845884
Clinic/Center - Podiatric in Oak Lawn, IL

Active since January 13, 2006
4650 SOUTHWEST HWY, OAK LAWN, IL 60453(708) 424-6353(708) 424-7095 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Podiatric

About ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC

This page provides the complete NPI Profile along with additional information for Illinois Center For Foot & Ankle Surgery Inc, a provider established in Oak Lawn, Illinois operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1508845884 assigned on January 2006. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is John F Grady Dpm (Owner)

NPI
1508845884 Verify this NPI
Provider Name
ILLINOIS CENTER FOR FOOT & ANKLE SURGERY INC
Entity Type
Organization
Location Address
4650 SOUTHWEST HWY OAK LAWN, IL 60453
Location Phone
(708) 424-6353
Location Fax
(708) 424-7095
Mailing Address
4650 SOUTHWEST HWY OAK LAWN, IL 60453
Mailing Phone
(708) 424-6353
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2006
Last Update Date
04-16-2008
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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

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN F GRADY DPM

Authorized Official Title
OWNER
Authorized Official Phone
(708) 424-3201

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
206947MEDICARE ID-TYPE UNSPECIFIED (04) 

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Podiatrist
4650 SOUTHWEST HWY
OAK LAWN, IL 60453
Podiatrist (Foot & Ankle Surgery)
4650 SOUTHWEST HWY
OAK LAWN, IL 60453
Anesthesiology
4650 SOUTHWEST HWY
OAK LAWN, IL 60453
Podiatrist
4650 SOUTHWEST HWY
OAK LAWN, IL 60453
Podiatrist (Foot & Ankle Surgery)
4650 SOUTHWEST HWY
OAK LAWN, IL 60453
Podiatrist
4650 SOUTHWEST HWY
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508845884, enumerated as an "organization" on January 13, 2006.

The provider is located at 4650 SOUTHWEST HWY OAK LAWN, IL 60453 and the phone number is (708) 424-6353.

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.