Spaccapaniccia Podiatry Ltd Pc in Lombard - Podiatrist
Spaccapaniccia Podiatry Ltd Pc - NPI 1215067806
Spaccapaniccia Podiatry Ltd Pc is a Podiatrist in Lombard, Illinois. Spaccapaniccia Podiatry Ltd Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Spaccapaniccia Podiatry Ltd Pc is 1215067806. The last update date is 2021-09-09.
Spaccapaniccia Podiatry Ltd Pc's current location address is 2340 S Highland Ave, Lombard, Illinois. You can contact this provider via phone number 6304953338. The mailing address for Spaccapaniccia Podiatry Ltd Pc is 2340 S Highland Ave, Lombard, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spaccapaniccia Podiatry Ltd Pc |
|---|---|
| Address | 2340 S Highland Ave, Lombard, Illinois |
| Phone Number | 6304953338 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING AD |
|---|---|
| Authorized Official Name | Spaccapaniccia Michelle |
| Telephone Number | 6303691128 |
NPI Number Detail
| NPI Number | 1215067806 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
| Address | 2340 S Highland Ave |
|---|---|
| City | Lombard |
| State | Illinois (IL) |
| Post Code | 601485371 |
| Phone Number | 6304953338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-003407 |
|
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 |
|---|---|---|---|
| CN8416 | IL | MEDICARE RAILROAD | |
| 60015180 | IL | BCBS | |
| 0 | 1 | ||
| 60015182 | IL | BCBS |
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What is the Spaccapaniccia Podiatry Ltd Pc's 1215067806?
The Spaccapaniccia Podiatry Ltd Pc's NPI (National Provider Identifier) Number is 1215067806. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Spaccapaniccia Podiatry Ltd Pc's physical address?
The Spaccapaniccia Podiatry Ltd Pc is physically located at 2340 S Highland Ave, in the city of Lombard, IL, with the postal code 601485371.
What is Spaccapaniccia Podiatry Ltd Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Spaccapaniccia Podiatry Ltd Pc is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did Spaccapaniccia Podiatry Ltd Pc receive its 1215067806 assignment from the Centers for Medicare & Medicaid Services?
The Spaccapaniccia Podiatry Ltd Pc was assigned its 1215067806 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Spaccapaniccia Podiatry Ltd Pc most recently updated?
The details pertaining to the Spaccapaniccia Podiatry Ltd Pc, including its address, specialty, and other relevant information, were last refreshed on 2021-09-09.
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