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DR. MICHAEL WILLIAMS PODIATRY INC NPI 1285036079


NPI Information

NPI: 1285036079
Provider Name: DR. MICHAEL WILLIAMS PODIATRY INC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
2400 S FINLEY RD
UNIT 306
LOMBARD, IL
ZIP 60148
Phone: (708) 638-9507
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DR. MICHAEL WILLIAMS PODIATRY INC is a podiatric clinic center in Lombard, IL. DR. MICHAEL WILLIAMS PODIATRY INC NPI is 1285036079. The provider is registered as an organization entity type.

The provider's business location address is:

2400 S FINLEY RD
UNIT 306
LOMBARD, IL
ZIP 60148-029
Phone: (708) 638-9507
Fax: (708) 698-9191

The provider's authorized official is Michael D Williams .
The authorized official title is Owner and has the following contact phone number (708) 638-9807.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 6/4/2015.


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
1261QP1100XClinic/CenterPodiatric16005302ILLINOISYes

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
1K52754MEDICARE UPINILLINOIS
2016005302MEDICAIDILLINOIS

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: 5/5/2024

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.