Bandyk Podiatry is a Podiatrist in Lansing, Illinois. Bandyk Podiatry practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bandyk Podiatry is 1669644548. The last update date is 2008-06-11.
Bandyk Podiatry's current location address is 18503 Torrence Ave, Lansing, Illinois. You can contact this provider via phone number 7084741900 and fax number 7084741037. The mailing address for Bandyk Podiatry is 18503 Torrence Ave, Lansing, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bandyk Podiatry |
|---|---|
| Address | 18503 Torrence Ave, Lansing, Illinois |
| Phone Number | 7084741900 |
| Fax Number | 7084741037 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR |
|---|---|
| Authorized Official Name | Bandyk Jon Robert |
| Telephone Number | 7084741900 |
NPI Number Detail
| NPI Number | 1669644548 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 18503 Torrence Ave |
|---|---|
| City | Lansing |
| State | Illinois (IL) |
| Post Code | 60438 |
| Phone Number | 7084741900 |
| Fax Number | 7084741037 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-004010 |
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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 |
|---|---|---|---|
| 16004010 | IL | -- | |
| 4800148821 | RAILROAD MEDICARE | ||
| 6000 1 555 | IL | BLUECROSS BLUESHIELD |
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What is the unique identification code assigned to Bandyk Podiatry by the Centers for Medicare & Medicaid Services?
The Bandyk Podiatry has been issued the NPI (National Provider Identifier) 1669644548. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bandyk Podiatry?
The Bandyk Podiatry is physically situated at 18503 Torrence Ave, in the city of Lansing, state of IL, with the postal code 60438.
What is Bandyk Podiatry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bandyk Podiatry's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did Bandyk Podiatry receive its 1669644548 assignment from the Centers for Medicare & Medicaid Services?
The Bandyk Podiatry was assigned its 1669644548 on 2008-03-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bandyk Podiatry last refreshed?
The information related to the Bandyk Podiatry, including its address, specialty, and other relevant details, was last updated on 2008-06-11.