Willowbrook Podiatry Inc in Willow Brook - Podiatrist
Willowbrook Podiatry Inc - NPI 1932167228
Willowbrook Podiatry Inc is a Podiatrist in Willow Brook, Illinois. Willowbrook Podiatry Inc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Willowbrook Podiatry Inc is 1932167228. The last update date is 2010-06-15.
Willowbrook Podiatry Inc's current location address is 62 63rd St, Willow Brook, Illinois. You can contact this provider via phone number 6308879221. The mailing address for Willowbrook Podiatry Inc is 62 63rd St, Willow Brook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowbrook Podiatry Inc |
|---|---|
| Address | 62 63rd St, Willow Brook, Illinois |
| Phone Number | 6308879221 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lantvit Timothy |
| Credentials | DPM |
| Telephone Number | 6308879221 |
NPI Number Detail
| NPI Number | 1932167228 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | 62 63rd St |
|---|---|
| City | Willow Brook |
| State | Illinois (IL) |
| Post Code | 605272982 |
| Phone Number | 6308879221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 4656 |
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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 |
|---|---|---|---|
| 732240001 | DMERC # WITH PPG | ||
| DG8105 | IL | RAIL ROAD MEDICARE | |
| 2219563 | IL | BCBS | |
| 16004656 | IL | -- | |
| 200136470A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Willowbrook Podiatry Inc?
The Willowbrook Podiatry Inc has been issued the NPI (National Provider Identifier) 1932167228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Willowbrook Podiatry Inc is located?
The Willowbrook Podiatry Inc is situated at the following address: 62 63Rd St, Willow Brook, IL, 605272982.
What is Willowbrook Podiatry Inc's area of expertise and its corresponding taxonomy classification?
The Willowbrook Podiatry Inc's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1932167228 to Willowbrook Podiatry Inc?
The Willowbrook Podiatry Inc received its 1932167228 assignment from the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the information pertaining to Willowbrook Podiatry Inc most recently updated or revised?
The details related to Willowbrook Podiatry Inc, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-15.