Lake Zurich Podiatry Pc in Lake Zurich - Podiatrist

Lake Zurich Podiatry Pc - NPI 1477679397

Lake Zurich Podiatry Pc is a Podiatrist in Lake Zurich, Illinois. Lake Zurich Podiatry Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Lake Zurich Podiatry Pc is 1477679397. The last update date is 2014-10-20.

Lake Zurich Podiatry Pc's current location address is 950 W Main St, Lake Zurich, Illinois. You can contact this provider via phone number 8475400234 and fax number 8475400867. The mailing address for Lake Zurich Podiatry Pc is 950 W Main St, Lake Zurich, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Zurich Podiatry Pc
Address 950 W Main St, Lake Zurich, Illinois
Phone Number 8475400234
Fax Number 8475400867
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sosinski Jean Elizabeth
Credentials D.P.M.
Telephone Number 8475400234

NPI Number Detail

NPI Number 1477679397
Provider Enumeration Date 2007-03-22
Last Updated Date 2014-10-20

Provider Mailing Address Detail

Address 950 W Main St
City Lake Zurich
State Illinois (IL)
Post Code 600473417
Phone Number 8475400234
Fax Number 8475400867

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 016-003263
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
DG9348 IL RAILROAD MEDICARE GROUP PTAN
4927332 BLUE CROSS BLUE SHIELD
480001414 RAILROAD MEDICARE PTAN

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FAQs about Lake Zurich Podiatry Pc

What is the unique identifier code issued to Lake Zurich Podiatry Pc by the Centers for Medicare & Medicaid Services?

The Lake Zurich Podiatry Pc has been assigned the NPI (National Provider Identifier) 1477679397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Lake Zurich Podiatry Pc?

The Lake Zurich Podiatry Pc is situated at 950 W Main St, in the city of Lake Zurich, state of IL, with the zip code 600473417.

What is Lake Zurich Podiatry Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lake Zurich Podiatry Pc is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

On what date did Lake Zurich Podiatry Pc receive its 1477679397 assignment from the Centers for Medicare & Medicaid Services?

The Lake Zurich Podiatry Pc was assigned its 1477679397 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Lake Zurich Podiatry Pc most recently updated or refreshed?

The details pertaining to the Lake Zurich Podiatry Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-20.

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