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ANDREW WAHL AND ADA PAOLUCCI NPI 1245418847


NPI Information

NPI: 1245418847
Provider Name: ANDREW WAHL AND ADA PAOLUCCI
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1960 ESSINGTON RD
STE 103
JOLIET, IL
ZIP 60435
Phone: (815) 436-3555
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ANDREW WAHL AND ADA PAOLUCCI is a podiatrist in Joliet, 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. ANDREW WAHL AND ADA PAOLUCCI NPI is 1245418847. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1960 ESSINGTON RD
STE 103
JOLIET, IL
ZIP 60435-617
Phone: (815) 436-3555
Fax: (815) 436-3578

The provider's authorized official is Ada Vera Paolucci .
The authorized official title is Owner and has the following contact phone number (815) 436-3555.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


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
1213E00000XPodiatrist0016004462ILLINOISNo
2213E00000XPodiatristILLINOISYes

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
15536200001MEDICARE NSCILLINOIS

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

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