BEVERLY PODIATRY CENTER, LLC
NPI 1790777118
Podiatrist in Chicago,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 22, 2005

Contact Information

9933 S Western Ave
Chicago,
Post Code: 60643
Phone: (773) 445-8700
Fax: (773) 445-4646

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Beverly Podiatry Center, Llc in Chicago - Podiatrist

Beverly Podiatry Center, Llc is a Podiatrist in Chicago, . Beverly Podiatry Center, Llc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Beverly Podiatry Center, Llc is 1790777118. The last update date is 2009-11-12.

Beverly Podiatry Center, Llc's current location address is 9933 S Western Ave, Chicago, . You can contact this provider via phone number (773) 445-8700 and fax number (773) 445-4646. The mailing address for Beverly Podiatry Center, Llc is 9933 S Western Ave, Chicago, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1790777118
Provider Legal Name
BEVERLY PODIATRY CENTER, LLC
Other Organization Name
BEVERLY PODIATRY CENTER, LLC
Other Name Type
-
Entity Type
Organization
Location Address
9933 S Western Ave, Chicago,
Location Phone
(773) 445-8700
Location Fax
(773) 445-4646
Mailing Address
9933 S Western Ave, Chicago, Illinois(IL)
Mailing Phone
773-445-8700
Mailing Fax
773-445-4646
Enumeration Date
2005-08-22
Last Update Date
2009-11-12
Code Navigator

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
-
License No.
-
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 213E00000X Podiatrist

Podiatrist

(Illinois)
2 213ES0131X Foot Surgery Podiatrist

Podiatrist, Foot Surgery

(Illinois)
3 213EP1101X Primary Podiatric Medicine Podiatrist

Podiatrist, Primary Podiatric Medicine

(Illinois)
4 213EP0504X Public Medicine Podiatrist

Podiatrist, Public Medicine

(Illinois)

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
600-15186 Other (non-Medicare) (01) Illinois (IL) BCBS

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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.
1790777118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801471412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 271801471412
2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 1 + 4 + 1 + 2 + 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 = 8 8

The NPI number 1790777118 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1487657433 PEKIN MRI, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1538162565 SONYA R SCHLEEPER
Individual
Family Medicine 270 MAPLE SUMMIT RD
JERSEYVILLE, Illinois (IL)
618-498-7108
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339