OrganizationActive
Addison Podiatry Center PLLC
NPI 1790351757 · Foot & Ankle Surgery Podiatrist · Addison, IL
Provider details
- NPI number
- 1790351757
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Sullivan, Doctor of Podiatric Medicine(630) 205-4557
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 W Lake St
Addison, IL 60101-5744
Phone: (630) 543-3000
Street-level locationGet directions
Mailing address
198 Sunnybrook Rd
Glen Ellyn, IL 60137-6477
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.