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PREFERRED PODIATRY GROUP PC NPI 1720037138


NPI Information

NPI: 1720037138
Provider Name: PREFERRED PODIATRY GROUP PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
168 N CLINTON ST FL 3
CHICAGO, IL
ZIP 60661
Phone: (847) 504-5000
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PREFERRED PODIATRY GROUP PC is a podiatrist in Chicago, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PREFERRED PODIATRY GROUP PC NPI is 1720037138. The provider is registered as an organization entity type.

The provider's business location address is:

168 N CLINTON ST FL 3
CHICAGO, IL
ZIP 60661-425
Phone: (847) 504-5000
Fax: (847) 504-5015

The provider's authorized official is Anthony C Wai .
The authorized official title is Cfo/ao and has the following contact phone number (773) 627-2924.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 11/2/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213E00000XPodiatristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DW2909OTHEROKLAHOMARAILROAD MEDICARE
2DX1124OTHERIOWARAILROAD MEDICARE
3060005901MEDICAIDILLINOIS
4DR6817OTHERTEXASRAILROAD MEDICARE
5504482407MEDICAIDMISSOURI
67100257260MEDICAIDKENTUCKY
7C12116OTHERILLINOISRAILROAD MEDICARE
8CB3726OTHERWISCONSINRAILROAD MEDICARE
9Q030004MEDICAIDTENNESSEE
1043265500MEDICAIDWISCONSIN
1173780081MEDICAIDCOLORADO
12CH4840OTHERINDIANARAILROAD MEDICARE
13DW2427OTHERCOLORADORAILROAD MEDICARE
141720037138MEDICAIDIOWA
15200623610AMEDICAIDOKLAHOMA
16DS6430OTHERMISSOURIRAILROAD MEDICARE
17100253080EMEDICAIDINDIANA
18281333901MEDICAIDTEXAS
19DU2423OTHERKENTUCKYRAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.