CATHERINE J MINNICK DPM PC NPI 1467640177

NPI Information

  • NPI: 1467640177
  • Provider Name: CATHERINE J MINNICK DPM PC
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Organization
  • Address: 561 W DIVERSEY PKWY
    SUITE 212
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 549-0323

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NPI Details

CATHERINE J MINNICK DPM PC is a primary podiatric medicine podiatrist in Chicago, IL. CATHERINE J MINNICK DPM PC NPI is 1467640177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

561 W DIVERSEY PKWY
SUITE 212
CHICAGO, IL
ZIP 60614-068
Phone: (773) 549-0323

The provider's authorized official is Catherine J Minnick .
The authorized official title is Podiatrist/owner and has the following contact phone number (773) 549-0323.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 2/1/2008.

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
1213EP1101XPodiatristPrimary Podiatric Medicine016003251ILLINOISYes

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
10060001266OTHERILLINOISBCBSIL
2T37715MEDICARE UPINILLINOIS
3016003251MEDICAIDILLINOIS
4212952MEDICARE PIN

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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