DR. MATTHEW GEORGE GAROUFALIS D.P.M. NPI 1417066689

NPI Information

NPI: 1417066689
Provider Name: DR. MATTHEW GEORGE GAROUFALIS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
5241 S CICERO AVE
SUITE 103
CHICAGO, IL
ZIP 60632
Phone: (773) 284-8811
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DR. Matthew George Garoufalis, D.P.M. is a foot and ankle surgery podiatrist in Chicago, IL. DR. Matthew George Garoufalis, D.P.M. NPI is 1417066689. 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:

5241 S CICERO AVE
SUITE 103
CHICAGO, IL
ZIP 60632-967
Phone: (773) 284-8811
Fax: (773) 284-6431

The NPI 1417066689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/30/2006 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	213ES0103X	Podiatrist	Foot & Ankle Surgery	016003359	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	Other Provider Identifier Issuer
1	K16761	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	PROVIDER NUMBER COOK
2	211509	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP P# DUPAGE COUNTY
3	60001287	OTHER	ILLINOIS	BLUE CROSS & BLUE SHIELD
4	T38011	MEDICARE UPIN	ILLINOIS
5	211512	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP P# COOK COUNTY
6	K16760	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	PROVIDER NUMBER DUPAGE

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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