ADVANCED PODIATRY CLINICS LTD NPI 1619255452

NPI Information

  • NPI: 1619255452
  • Provider Name: ADVANCED PODIATRY CLINICS LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 1835 N 19TH AVE
    SUITE 102
    MELROSE PARK, IL
    ZIP 60160
  • Phone: (708) 450-0705

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NPI Details

ADVANCED PODIATRY CLINICS LTD 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. ADVANCED PODIATRY CLINICS LTD NPI is 1619255452. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1835 N 19TH AVE
SUITE 102
MELROSE PARK, IL
ZIP 60160-040
Phone: (708) 450-0705
Fax: (708) 345-0423

The provider's authorized official is Igor Dukarevich .
The authorized official title is Medical Director and has the following contact phone number (708) 450-0705.

The enumeration date for this NPI number is 7/27/2011 and was last updated on 12/10/2013.

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
1213E00000XPodiatrist016005409ILLINOISYes

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
1IL6104MEDICARE PINILLINOIS
2016005409MEDICAIDILLINOIS
36684350001MEDICARE NSCILLINOIS

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: 3/30/2025

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