PRAIRIE PODIATRY INC. NPI 1225535867

NPI Information

  • NPI: 1225535867
  • Provider Name: PRAIRIE PODIATRY INC.
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 21813 CAPPEL LN
    FRANKFORT, IL
    ZIP 60423
  • Phone: (978) 549-6818

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NPI Details

PRAIRIE PODIATRY INC. is a primary podiatric medicine podiatrist in Frankfort, IL. PRAIRIE PODIATRY INC. NPI is 1225535867. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21813 CAPPEL LN
FRANKFORT, IL
ZIP 60423-275
Phone: (978) 549-6818

The provider's authorized official is Wayne Mccullough .
The authorized official title is President and has the following contact phone number (978) 549-6818.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 4/10/2018.

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
1213EP1101XPodiatristPrimary Podiatric Medicine0700115AINDIANAYes

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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