DANIEL J. WALTERS DPM PC NPI 1164724431

NPI Information

NPI: 1164724431
Provider Name: DANIEL J. WALTERS DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6545 W ARCHER AVE
CHICAGO, IL
ZIP 60638
Phone: (773) 586-0050
Get Directions

DANIEL J. WALTERS DPM PC is a foot and ankle surgery podiatrist in Chicago, IL. DANIEL J. WALTERS DPM PC NPI is 1164724431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6545 W ARCHER AVE
CHICAGO, IL
ZIP 60638-438
Phone: (773) 586-0050
Fax: (773) 586-0533

The provider's authorized official is Daniel J Walters .
The authorized official title is President and has the following contact phone number (773) 586-0050.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 8/10/2015.

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	016003479	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
1	T11299	MEDICARE UPIN	ILLINOIS
2	695820	MEDICARE PIN	ILLINOIS
3	6265870001	MEDICARE NSC	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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