ADDISON PODIATRY CENTER PLLC
NPI 1790351757
Podiatrist - Foot & Ankle Surgery in Addison, IL

Active since June 01, 2021
1250 W LAKE ST, ADDISON, IL 60101(630) 543-3000 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addison Podiatry Center Pllc NPPES

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

ADDISON PODIATRY CENTER PLLC (NPI 1790351757) is a healthcare organization registered as a foot & ankle surgery in Addison, Illinois and active in the NPI registry since June 2021. The organization lists Jessica Sullivan, Doctor Of Podiatric Medicine, as its authorized official.

NPPES Registry Identity

NPI1790351757
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameADDISON PODIATRY CENTER PLLC
Location Address1250 W LAKE STAddison, IL 60101-5744
Mailing Address198 Sunnybrook RdGlen Ellyn, IL 60137-6477 · (630) 205-4557
Organization SubpartNo
Authorized OfficialJessica SullivanDoctor Of Podiatric Medicine · (630) 205-4557
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
NPI 1790351757 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
1250 W LAKE ST, Addison, IL 60101

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE #17
ADDISON, IL 60101
Podiatrist
1250 W LAKE ST, SUITE 16
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, SUITE 17
ADDISON, IL 60101
Podiatrist (Foot & Ankle Surgery)
1250 W LAKE ST, STE 16
ADDISON, IL 60101
Podiatrist (Foot & Ankle Surgery)
1250 W LAKE ST, SUITE 16
ADDISON, IL 60101
Chiropractor
1250 W LAKE ST, 17
ADDISON, IL 60101

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 Addison Podiatry Center PLLC's NPI number?

The NPI number for Addison Podiatry Center PLLC is 1790351757. It was assigned to this organization in the NPPES registry on June 1, 2021.

Where is Addison Podiatry Center PLLC located?

Addison Podiatry Center PLLC is located at 1250 W Lake St, Addison, IL 60101. The listed phone number is (630) 543-3000.

What is Addison Podiatry Center PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Addison Podiatry Center PLLC was last updated on June 1, 2021. 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.