Irakly Pataraia, PODIATRIC PHYSICIAN is a podiatrist in Northbrook, 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. Irakly Pataraia, PODIATRIC PHYSICIAN NPI is 1780051490. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1445 SHERMER RD APT 5A
NORTHBROOK, IL
ZIP 60062-325
Phone: (815) 463-0098
Fax: (815) 462-4955
The NPI 1780051490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/28/2015 and was last updated on 3/25/2024.