DRS VALDES AND KULEKOWSKIS PODIATRY PC NPI 1093951303

NPI Information

NPI: 1093951303
Provider Name: DRS VALDES AND KULEKOWSKIS PODIATRY PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3632 N WESTERN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 248-4111
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DRS VALDES AND KULEKOWSKIS PODIATRY PC is a foot and ankle surgery podiatrist in Chicago, IL. DRS VALDES AND KULEKOWSKIS PODIATRY PC NPI is 1093951303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3632 N WESTERN AVE
CHICAGO, IL
ZIP 60618-715
Phone: (773) 248-4111
Fax: (773) 248-4450

The provider's authorized official is Angeles Valdes .
The authorized official title is Owner and has the following contact phone number (773) 248-4111.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 11/11/2019.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	016005127	ILLINOIS	Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies				No

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	016005127	MEDICAID	ILLINOIS
2	016003592	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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