CAYETANO PUZON DPM NPI 1265651905

NPI Information

NPI: 1265651905
Provider Name: CAYETANO PUZON, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
5310 N SHERIDAN RD
CHICAGO, IL
ZIP 60640
Phone: (773) 769-8165
Get Directions

Cayetano Puzon, DPM is a primary podiatric medicine podiatrist in Chicago, IL. Cayetano Puzon, DPM NPI is 1265651905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5310 N SHERIDAN RD
CHICAGO, IL
ZIP 60640-514
Phone: (773) 769-8165
Fax: (773) 769-8167

The NPI 1265651905 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/8/2007.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	016004484	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	UO9551	MEDICARE UPIN	ILLINOIS
2	937310	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	016004484	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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