| Preferred Podiatry Group Of Kansas Llc | |
|
168 N Clinton St Fl 3, Chicago, IL 60661-1425 | |
| (847) 502-4898 | |
| Not Available |
| Full Name | Preferred Podiatry Group Of Kansas Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 168 N Clinton St Fl 3, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588206262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Joseph Costello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952613671 PECOS PAC ID: 0446471551 Enrollment ID: I20150618000728 |
| Provider Name | Kelli Jo Eccles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003284449 PECOS PAC ID: 1254640097 Enrollment ID: I20151019002006 |
| Provider Name | Tonya Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174045439 PECOS PAC ID: 9032485123 Enrollment ID: I20171017002254 |
| Provider Name | Stevin Christopher Kestner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457399354 PECOS PAC ID: 8224223219 Enrollment ID: I20191209002601 |
| Provider Name | Ann Marie Hanon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619081395 PECOS PAC ID: 9133104482 Enrollment ID: I20200211000200 |
| Provider Name | Caleb N Pace |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124548086 PECOS PAC ID: 6305262205 Enrollment ID: I20200828001213 |
| Provider Name | Rebecca Jolissaint |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144575895 PECOS PAC ID: 6002124443 Enrollment ID: I20210201001516 |
| Provider Name | Daniel Hanon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356458970 PECOS PAC ID: 0042205643 Enrollment ID: I20211110001145 |
| Provider Name | Sarah Jo Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710443536 PECOS PAC ID: 8729462395 Enrollment ID: I20220831000243 |
| Provider Name | Alexander San Diego |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053678052 PECOS PAC ID: 6709104482 Enrollment ID: I20221010003006 |
| Provider Name | Heather Newhard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992049720 PECOS PAC ID: 4880900471 Enrollment ID: I20230124002350 |
| Provider Name | Mary Degroot |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720071970 PECOS PAC ID: 7416918644 Enrollment ID: I20230510002191 |
| Provider Name | Mai Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558850990 PECOS PAC ID: 7214338938 Enrollment ID: I20240117003771 |
| Provider Name | Kristina Rachelle Stone-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558018499 PECOS PAC ID: 4789126152 Enrollment ID: I20240613000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Podiatry Group Of Kansas Llc 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 Ph: (847) 504-5000 | Preferred Podiatry Group Of Kansas Llc 168 N Clinton St Fl 3, Chicago, IL 60661-1425 Ph: (847) 502-4898 |
Dr. Kevin Paul Malone, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1715 E 95th St, Chicago, IL 60617 Phone: 773-768-4437 Fax: 773-564-3515 | |
Chicago Foot Clinic, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2801 W Cermak Rd, Chicago, IL 60623 Phone: 773-376-7200 Fax: 773-376-9211 | |
Darla Thomas, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1706 E 87th St, Chicago, IL 60617 Phone: 773-374-5300 | |
Dr. Petrina Chino, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-2245 | |
Dr. Marwan Zayed, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3631 N Harlem Ave, Chicago, IL 60634 Phone: 773-725-2953 Fax: 773-725-2932 | |
Michael Stefan Williams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2752 N Southport Ave, Chicago, IL 60614 Phone: 773-327-0006 | |
Chicago Foot & Ankle Deformity Correction Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 60 E Delaware Pl, Suite 1480, Chicago, IL 60611 Phone: 312-355-3939 |