Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lijo John, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1639552029

Lijo John, DPM is a Podiatry in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Academy of Podiatry, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1108 S Kedzie Ave
Chicago, IL 60612-3935
Phone: (773) 722-2712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 135000872 (IL)

Record details

NPI number1639552029
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 2, 2015
Mailing address1108 S Kedzie Ave, Chicago, IL 60612-3935

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Academy Of Podiatry, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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