SERENITY FOOT AND ANKLE SPECIALISTS
NPI 1922617778
Podiatrist - Foot & Ankle Surgery in Highland Park, IL

NPI Status: Active since July 28, 2020

Contact Information

767 PARK AVE W
STE 180
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 380-3700
Fax: (877) 540-0387

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance

About SERENITY FOOT AND ANKLE SPECIALISTS

This page provides the complete NPI Profile along with additional information for Serenity Foot And Ankle Specialists, a provider established in Highland Park, Illinois operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1922617778 assigned on July 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Nooreen Ibrahim Dpm (Physician/ceo)

NPI
1922617778
Provider Name
SERENITY FOOT AND ANKLE SPECIALISTS
Entity Type
Organization
Location Address
767 PARK AVE W STE 180 HIGHLAND PARK, IL 60035
Location Phone
(847) 380-3700
Location Fax
(877) 540-0387
Mailing Address
767 PARK AVE W STE 180 HIGHLAND PARK, IL 60035
Mailing Phone
(847) 380-3700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-28-2020
Last Update Date
07-25-2022
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*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

DR. NOOREEN IBRAHIM DPM

Authorized Official Title
PHYSICIAN/CEO
Authorized Official Phone
(847) 380-3700

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922617778
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294212114714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 2 + 1 + 1 + 4 + 7 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1922617778 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

BARBARA DAWN LORIS M.D.

Surgery

767 PARK AVE W
SUITE 320
HIGHLAND PARK, IL
ZIP 60035

(847) 433-1060

DR. BARRY GOLDBERG MD

Internal Medicine

767 PARK AVE W
SUITE 330
HIGHLAND PARK, IL
ZIP 60035

(847) 433-1709

DR. MICHAEL R BINDER M.D.

Psychologist

767 PARK AVE W
SUITE 210
HIGHLAND PARK, IL
ZIP 60035

(847) 681-8311

DAVID S GINSBURG MD

Internal Medicine

(Nephrology)

767 PARK AVE W
SUITE 260
HIGHLAND PARK, IL
ZIP 60035

(847) 432-7222

NORTH SHORE NEPHROLOGY LTD

Internal Medicine

(Nephrology)

767 PARK AVE W
STE 260
HIGHLAND PARK, IL
ZIP 60035

(847) 432-7222

DR. KENNETH FORD HOROWITZ M.D.

Internal Medicine

767 PARK AVE W
SUITE 350
HIGHLAND PARK, IL
ZIP 60035

(847) 926-4445

DARRYL M. BRONSON, M.D., S.C.

Specialist

767 PARK AVE W
SUITE 310
HIGHLAND PARK, IL
ZIP 60035

(847) 432-4650

ANDREA A. CARTER PA

Physician Assistant

(Surgical)

767 PARK AVE W
CONSULTANTS IN GENERAL SURGERY, SUITE 320
HIGHLAND PARK, IL
ZIP 60035

(847) 433-1060

A TO Z OF HEALTH LLC

Internal Medicine

(Sports Medicine)

767 PARK AVE W
STE 130
HIGHLAND PARK, IL
ZIP 60035

(847) 433-1501

BARRY R. GOLDBERG, M.D. LLC

Internal Medicine

767 PARK AVE W
SUITE 330
HIGHLAND PARK, IL
ZIP 60035

(847) 433-1709

NORMAN J MARKUS M.D. S.C.

Surgery

(Plastic and Reconstructive Surgery)

767 PARK AVE W
180
HIGHLAND PARK, IL
ZIP 60035

(847) 432-8180

JAMES E. SCHUETZ M.D. LTD.

Plastic Surgery

767 PARK AVE W
SUITE 360
HIGHLAND PARK, IL
ZIP 60035

(847) 432-3460

RESURRECTION SERVICES

Internal Medicine

(Hematology & Oncology)

767 PARK AVE W
SUITE 120
HIGHLAND PARK, IL
ZIP 60035

(847) 432-0300

DR. DANIEL M EISENSTEIN M.D.

Pediatrics

767 PARK AVE W
SUITE 230
HIGHLAND PARK, IL
ZIP 60035

(847) 681-7100

DR. SUSAN F SIROTA M.D.

Pediatrics

767 PARK AVE W
SUITE 230
HIGHLAND PARK, IL
ZIP 60035

(847) 681-7100

DR. ERICA DAYAN M.D.

Pediatrics

767 PARK AVE W
SUITE 230
HIGHLAND PARK, IL
ZIP 60035

(847) 681-7100

JORDAN D. GRUMET MD

Internal Medicine

767 PARK AVE W
SUITE 350
HIGHLAND PARK, IL
ZIP 60035

(847) 926-4445

DR. RICHARD L ADIS M.D.

Obstetrics & Gynecology

767 PARK AVE W
SUITE 240
HIGHLAND PARK, IL
ZIP 60035

(847) 432-1558

SCOTT D, GLAZER, M.D., S.C.

Dermatology

(Procedural Dermatology)

767 PARK AVE W
SUITE 310
HIGHLAND PARK, IL
ZIP 60035

(847) 432-4650

PARK AVENUE ASSOCIATES IN INTERNAL MEDICINE, LTD

Internal Medicine

767 PARK AVE W
SUITE 350
HIGHLAND PARK, IL
ZIP 60035

(847) 926-4445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922617778, enumerated as an "organization" on July 28, 2020.

The provider is located at 767 PARK AVE W STE 180 HIGHLAND PARK, IL 60035 and the phone number is (847) 380-3700.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.