NORTHWEST PODIATRY CENTER NPI 1720538879

NPI Information

  • NPI: 1720538879
  • Provider Name: NORTHWEST PODIATRY CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 14D2029692
  • Address: 13312 VILLAGE GREEN DR
    HUNTLEY, IL
    ZIP 60142
  • Phone: (847) 802-4664

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NPI Details

NORTHWEST PODIATRY CENTER is a durable medical equipment medical supplies in Huntley, 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 1720538879. The provider is registered as an organization entity type.

The provider's business location address is:

13312 VILLAGE GREEN DR
HUNTLEY, IL
ZIP 60142-027
Phone: (847) 802-4664
Fax: (847) 802-4869

The provider's authorized official is Gregory C. Bryniczka .
The authorized official title is President and has the following contact phone number (847) 802-4664.

The CLIA number assigned to this NPI record is 14D2029692 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

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
1332B00000XDurable Medical Equipment & Medical Supplies016-002778ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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