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SPACCAPANICCIA PODIATRY LTD PC NPI 1215067806


NPI Information

NPI: 1215067806
Provider Name: SPACCAPANICCIA PODIATRY LTD PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
675 W NORTH AVE STE 606
MELROSE PARK, IL
ZIP 60160
Phone: (630) 495-3338
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SPACCAPANICCIA PODIATRY LTD PC is a podiatrist in Melrose Park, IL. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SPACCAPANICCIA PODIATRY LTD PC NPI is 1215067806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

675 W NORTH AVE STE 606
MELROSE PARK, IL
ZIP 60160-627
Phone: (630) 495-3338

The provider's authorized official is Michelle Spaccapaniccia .
The authorized official title is Billing Administrator and has the following contact phone number (630) 369-1128.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 9/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016-003407ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10060015180OTHERILLINOISBCBS
20OTHER1
30060015182OTHERILLINOISBCBS
4CN8416OTHERILLINOISMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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