Mark Pietz is a Podiatrist in Chicago, Illinois. Mark Pietz practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark Pietz is 1053310482. The last update date is 2011-10-28.
Mark Pietz's current location address is 3000 N Halsted St, Chicago, Illinois. You can contact this provider via phone number 7732967160 and fax number 7732963440. The mailing address for Mark Pietz is 3000 N Halsted St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Pietz |
|---|---|
| Address | 3000 N Halsted St, Chicago, Illinois |
| Phone Number | 7732967160 |
| Fax Number | 7732963440 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1053310482 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
| Address | 3000 N Halsted St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606575188 |
| Phone Number | 7732967160 |
| Fax Number | 7732963440 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16003670 |
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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 |
|---|---|---|---|
| 16003670 | IL | -- | |
| 1623520 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Pietz by the Centers for Medicare & Medicaid Services?
The Mark Pietz has been issued the NPI (National Provider Identifier) 1053310482, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Pietz's physical address?
The Mark Pietz is physically located at 3000 N Halsted St, in the city of Chicago, IL, with the postal code 606575188.
What is Mark Pietz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Pietz is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Mark Pietz receive its 1053310482 assignment from the Centers for Medicare & Medicaid Services?
The Mark Pietz was assigned its 1053310482 by the Centers for Medicare & Medicaid Services on 2005-07-18.
When was the information pertaining to Mark Pietz most recently updated or revised?
The details related to Mark Pietz, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-28.