DR. EUGENE EDMUND DEZANEK DPM NPI 1194828624

NPI Information

  • NPI: 1194828624
  • Provider Name: DR. EUGENE EDMUND DEZANEK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 2 TALCOTT ROAD
    SUITE #23
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 692-3700

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NPI Details

DR. Eugene Edmund Dezanek, DPM is a podiatrist in Park Ridge, 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. DR. Eugene Edmund Dezanek, DPM NPI is 1194828624. 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:

2 TALCOTT ROAD
SUITE #23
PARK RIDGE, IL
ZIP 60068
Phone: (847) 692-3700
Fax: (847) 692-3838

The enumeration date for this NPI number is 9/7/2006 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
1213E00000XPodiatristILLINOISYes

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
1T36752MEDICARE UPIN
2517980MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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