NORTHWEST PODIATRY CENTER LTD NPI 1316030943

NPI Information

  • NPI: 1316030943
  • Provider Name: NORTHWEST PODIATRY CENTER, LTD
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • CLIA Number: 14D2063276
  • Address: 705 WARRENVILLE RD STE B
    WHEATON, IL
    ZIP 60189
  • Phone: (630) 668-8277

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NPI Details

NORTHWEST PODIATRY CENTER, LTD is a foot and ankle surgery podiatrist in Wheaton, IL. NORTHWEST PODIATRY CENTER, LTD NPI is 1316030943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 WARRENVILLE RD STE B
WHEATON, IL
ZIP 60189-379
Phone: (630) 668-8277
Fax: (630) 668-3358

The provider's authorized official is Gregory C. Bryniczka .
The authorized official title is Owner and has the following contact phone number (630) 668-8277.

The CLIA number assigned to this NPI record is 14D2063276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/19/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery162778ILLINOISYes

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
1U74144MEDICARE UPINILLINOIS
2T38375MEDICARE UPIN
3310260MEDICARE PINILLINOIS
4367692MEDICARE PINILLINOIS
5367691MEDICARE PINILLINOIS
6V10280MEDICARE UPINILLINOIS
7T35526MEDICARE UPINILLINOIS
8367690MEDICARE PINILLINOIS
9T36906MEDICARE UPINILLINOIS
10367693MEDICARE PINILLINOIS

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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