Thomas Daniel Paholak in Chicago - Podiatrist

Thomas Daniel Paholak - NPI 1710934955

Thomas Daniel Paholak is a Podiatrist in Chicago, Illinois. Thomas Daniel Paholak practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas Daniel Paholak is 1710934955. The last update date is 2022-03-23.

Thomas Daniel Paholak's current location address is 6374 N Lincoln Ave Ste 303, Chicago, Illinois. You can contact this provider via phone number 7738669800 and fax number 7738661733. The mailing address for Thomas Daniel Paholak is 6374 N Lincoln Ave Ste 303, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Daniel Paholak
Address 6374 N Lincoln Ave Ste 303, Chicago, Illinois
Phone Number 7738669800
Fax Number 7738661733
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1710934955
Provider Enumeration Date 2006-05-30
Last Updated Date 2022-03-23

Provider Mailing Address Detail

Address 6374 N Lincoln Ave Ste 303
City Chicago
State Illinois (IL)
Post Code 606591283
Phone Number 7738669800
Fax Number 7738661733

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 16004340
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
016-004340 IL IL STATE LICENSE
1623503 IL BCBS
016-004340 IL --
480027688 IL RAILROAD MEDICARE

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FAQs about Thomas Daniel Paholak

What is the unique 10-digit identifier code issued to Thomas Daniel Paholak by the Centers for Medicare & Medicaid Services?

The Thomas Daniel Paholak has been assigned the NPI (National Provider Identifier) 1710934955 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Thomas Daniel Paholak's physical address?

The Thomas Daniel Paholak is physically located at 6374 N Lincoln Ave Ste 303, in the city of Chicago, IL, with the postal code 606591283.

What is Thomas Daniel Paholak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas Daniel Paholak'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 Thomas Daniel Paholak receive its 1710934955 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Daniel Paholak was assigned its 1710934955 by the Centers for Medicare & Medicaid Services on 2006-05-30.

When was the information related to Thomas Daniel Paholak most recently updated or refreshed?

The details pertaining to the Thomas Daniel Paholak, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-23.

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