PERFORMANCE FOOT AND ANKLE CENTER LLC
NPI 1750397428
Podiatrist in South Holland, IL

NPI Status: Active since August 01, 2006

Contact Information

401 E 162ND ST
SUITE 101
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 596-3757
Fax: (708) 596-3779

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  • Organization
  • Podiatrist
  • Accepts Insurance

About PERFORMANCE FOOT AND ANKLE CENTER LLC

This page provides the complete NPI Profile along with additional information for Performance Foot And Ankle Center Llc, a provider established in South Holland, Illinois operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1750397428 assigned on August 2006. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Dale Steven Brink Dpm, Facfas (Doctor)

NPI
1750397428
Provider Name
PERFORMANCE FOOT AND ANKLE CENTER LLC
Entity Type
Organization
Location Address
401 E 162ND ST SUITE 101 SOUTH HOLLAND, IL 60473
Location Phone
(708) 596-3757
Location Fax
(708) 596-3779
Mailing Address
401 E 162ND ST SUITE 101 SOUTH HOLLAND, IL 60473
Mailing Phone
(708) 596-3757
Mailing Fax
(708) 596-3779
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2006
Last Update Date
07-21-2022
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A podiatrist like Performance Foot And Ankle Center Llc 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

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License State
IL
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

5000520001 (IL)

Insurance Plans Accepted

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

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • 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. DALE STEVEN BRINK DPM, FACFAS

Authorized Official Title
DOCTOR
Authorized Official Phone
(708) 596-3757

Reviews for PERFORMANCE FOOT AND ANKLE CENTER LLC

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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.
1750397428
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100691444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 9 + 1 + 4 + 4 + 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 1750397428 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942376652MR. STEVEN R HOEKSTRA MA LCPC
Individual
Counselor401 E 162ND ST SUITE 109
SOUTH HOLLAND, IL 60473
(708) 339-2769
1457482796DR. RONALD J. WARYJAS D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)401 E 162ND ST SUITE 205
SOUTH HOLLAND, IL 60473
(708) 596-2226
1063904597MS. SHERRICE A HOFFMAN
Individual
Counselor (Mental Health)401 E 162ND ST
SOUTH HOLLAND, IL 60473
(773) 819-5504
1336631662MS. GENAEA MARIE CARSON
Individual
Counselor (Mental Health)401 E 162ND ST
SOUTH HOLLAND, IL 60473
(773) 819-5504
1194165357 VIVEK PATEL DPM
Individual
Podiatrist (Foot & Ankle Surgery)401 E 162ND ST SUITE 101
SOUTH HOLLAND, IL 60473
(708) 596-3757
1881760593REFUGE CHRISTIAN COUNSELING
Organization
Counselor401 E 162ND ST SUITE 109
SOUTH HOLLAND, IL 60473
(708) 339-2769
1881725141RONALD J. WARYJAS, DDS, LTD.AR
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)401 E 162ND ST SUITE 205
SOUTH HOLLAND, IL 60473
(708) 596-2226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750397428, enumerated in the NPI registry as an "organization" on August 01, 2006

The provider is located at 401 E 162nd St Suite 101 South Holland, Il 60473 and the phone number is (708) 596-3757

This medical organization specializes in Podiatrist with taxonomy code 213E00000X

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

This NPI record was last updated on August 01, 2006. 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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