Dezanek Podiatry Center Ltd in Chicago - Podiatrist
Dezanek Podiatry Center Ltd - NPI 1407934888
Dezanek Podiatry Center Ltd is a Podiatrist in Chicago, Illinois. Dezanek Podiatry Center Ltd practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Dezanek Podiatry Center Ltd is 1407934888. The last update date is 2014-12-26.
Dezanek Podiatry Center Ltd's current location address is 5916 W Higgins Ave, Chicago, Illinois. You can contact this provider via phone number 7732831911. The mailing address for Dezanek Podiatry Center Ltd is 5916 W Higgins Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dezanek Podiatry Center Ltd |
|---|---|
| Address | 5916 W Higgins Ave, Chicago, Illinois |
| Phone Number | 7732831911 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORP PRESI |
|---|---|
| Authorized Official Name | Dezanek Charles Robert |
| Credentials | DPM |
| Telephone Number | 7732831911 |
NPI Number Detail
| NPI Number | 1407934888 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-12-26 |
Provider Mailing Address Detail
| Address | 5916 W Higgins Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606301905 |
| Phone Number | 7732831911 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16003970 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60001570 | IL | BLUE CROSS | |
| 339464989606300 | IL | -- | |
| 480009595 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dezanek Podiatry Center Ltd by the Centers for Medicare & Medicaid Services?
The Dezanek Podiatry Center Ltd has been assigned the NPI (National Provider Identifier) 1407934888 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dezanek Podiatry Center Ltd is geographically located?
The Dezanek Podiatry Center Ltd is physically situated at the following location: 5916 W Higgins Ave, Chicago, IL, 606301905.
What is Dezanek Podiatry Center Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dezanek Podiatry Center Ltd's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407934888 to Dezanek Podiatry Center Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1407934888 to Dezanek Podiatry Center Ltd on 2006-11-01.
When was the information pertaining to Dezanek Podiatry Center Ltd most recently updated or revised?
The details related to Dezanek Podiatry Center Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-26.