WILLOW FALLS PODIATRY
NPI 1730498627
Podiatrist - Primary Podiatric Medicine in Crest Hill, IL

NPI Status: Active since September 27, 2010

Contact Information

16151 WEBER RD
SUITE 107
CREST HILL, IL
ZIP 60403
Phone: (815) 838-0282
Fax: (815) 230-0036

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  • Organization
  • Podiatrist
  • Primary Podiatric Medicine
  • CLIA Number: 14D2136911
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 09-17-2025

About WILLOW FALLS PODIATRY

This page provides the complete NPI Profile along with additional information for Willow Falls Podiatry, a provider established in Crest Hill, Illinois operating as a Podiatrist, focusing in primary podiatric medicine . The healthcare provider is registered in the NPI registry with number 1730498627 assigned on September 2010. The practitioner's primary taxonomy code is 213EP1101X with license number 016003971 (IL). The provider is registered as an organization and their NPI record was last updated 15 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 Carolyn Whitfield Dpm (Podiatrist)

NPI
1730498627
Provider Name
WILLOW FALLS PODIATRY
Entity Type
Organization
Location Address
16151 WEBER RD SUITE 107 CREST HILL, IL 60403
Location Phone
(815) 838-0282
Location Fax
(815) 230-0036
Mailing Address
1560 SUNCREST LN BOLINGBROOK, IL 60490
Mailing Phone
(815) 838-0282
Mailing Fax
(815) 230-0036
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2010
Last Update Date
09-27-2010
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A podiatrist like Willow Falls Podiatry provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

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 Primary Podiatric Medicine

Taxonomy Code
213EP1101X
Type
Podiatric Medicine & Surgery Service Providers
License No.
016003971
License State
IL

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

CAROLYN WHITFIELD DPM

Authorized Official Title
PODIATRIST
Authorized Official Phone
(603) 390-9810

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
016003971MEDICAID (05)IL 
0060001542OTHER (01)ILBLUE CROSS BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2136911
Facility Type
Assisted Living Facility
Certificate Effective Date
September 18, 2023
Certificate Expiration Date
September 17, 2025
Laboratory Director
MONIQUE MIDDLETON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Willow Falls Podiatry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WILLOW FALLS PODIATRY

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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.
1730498627
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760891664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 9 + 1 + 6 + 6 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1730498627 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699878066 CAROLYN WHITFIELD DPM
Individual
Podiatrist16151 WEBER RD SUITE 107
CREST HILL, IL 60403
(815) 733-5162
1730361320CAROLYN WHITFIELD, DPM, PC
Organization
Podiatrist16151 WEBER RD SUITE 107
CREST HILL, IL 60403
(815) 733-5162
1982965539 DUNCAN WILLIAM HALL LCSW
Individual
Social Worker (Clinical)16151 WEBER RD SUITE 101
CREST HILL, IL 60403
(815) 773-7827
1811218142DR. GEORGE ANTOINE AGHIA M.D.
Individual
Family Medicine16151 WEBER RD SUITE 201
CREST HILL, IL 60403
(815) 838-2888
1912114497 CYNTHIA M YARSHEN DO
Individual
Family Medicine16151 WEBER RD SUITE 201
CREST HILL, IL 60403
(815) 838-2888
1457434235 JAVEED AKHTER MD
Individual
Pediatrics (Pediatric Pulmonology)16151 WEBER RD SUITE 101
CREST HILL, IL 60403
(815) 588-5012
1396227443 NICOLE HOOTEN
Individual
Social Worker (Clinical)16151 WEBER RD
CREST HILL, IL 60403
(815) 782-8263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730498627, enumerated in the NPI registry as an "organization" on September 27, 2010

The provider is located at 16151 Weber Rd Suite 107 Crest Hill, Il 60403 and the phone number is (815) 838-0282

This medical organization specializes in Podiatrist with taxonomy code 213EP1101X with a focus in Primary Podiatric Medicine

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D2136911 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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