NORTHWEST PODIATRY CENTER NPI 1841679354

NPI Information

NPI: 1841679354
Provider Name: NORTHWEST PODIATRY CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
403 W IRVING PARK RD
STREAMWOOD, IL
ZIP 60107
Phone: (630) 830-2155
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NORTHWEST PODIATRY CENTER is a durable medical equipment medical supplies in Streamwood, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTHWEST PODIATRY CENTER NPI is 1841679354. The provider is registered as an organization entity type.

The provider's business location address is:

403 W IRVING PARK RD
STREAMWOOD, IL
ZIP 60107-851
Phone: (630) 830-2155
Fax: (630) 830-1424

The provider's authorized official is Gregory C. Bryniczka .
The authorized official title is President and has the following contact phone number (630) 830-2155.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 4/25/2016.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		016-002778	ILLINOIS	Yes

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
1	367690	MEDICARE UPIN	ILLINOIS

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

NPI Synchronization or Removal

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