FOX LAKE FOOT CARE LTD - NPI 1699053967 - Podiatrist in Ingleside, IL

Q: What is Fox Lake Foot Care Ltd's NPI number?

The NPI number for Fox Lake Foot Care Ltd is 1699053967. It was assigned to this organization in the NPPES registry on August 3, 2011.

Q: What is Fox Lake Foot Care Ltd's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

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About Fox Lake Foot Care Ltd NPPES

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

FOX LAKE FOOT CARE LTD (NPI 1699053967) is a healthcare organization registered as a foot & ankle surgery in Ingleside, Illinois and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Tegan A Thimesch, Doctor, as its authorized official.

NPPES Registry Identity

NPI1699053967

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameFOX LAKE FOOT CARE LTD

Location Address214 WASHINGTON ST, SUITE #3Ingleside, IL 60041-9208

Mailing Address214 Washington St, Suite #3Ingleside, IL 60041-9208 · (847) 587-3221 · Fax (847) 587-2148

Phone(847) 587-3221

Fax(847) 587-2148

Organization SubpartNo

Authorized OfficialTegan A ThimeschDoctor · (847) 587-3221

Enumeration DateAugust 3, 2011

✔ NPI 1699053967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016003998

214 WASHINGTON ST, Ingleside, IL 60041

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2032112

Fox Lake Foot Care Ltd · Ingleside, IL

Active · expires Nov 3, 2027

CLIA Number14D2032112

Laboratory TypePhysician Office

Certificate Effective DateNovember 4, 2025

Certificate Expiration DateNovember 3, 2027

Laboratory DirectorTegan A. Thimesch Dpm

Laboratory Phone(847) 587-3221

Laboratory LocationFox Lake Foot Care Ltd214 Washington St Ste 3, Ingleside, IL 60041

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

SUNSHINE PEDIATRICS, S.C.

Pediatrics

214 WASHINGTON ST, STE 3
INGLESIDE, IL 60041

Lake County (847) 587-9090

NADER SALLAM MD

Internal Medicine