LAKE ZURICH PODIATRY PC NPI 1477679397

NPI Information

  • NPI: 1477679397
  • Provider Name: LAKE ZURICH PODIATRY PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: LAKE ZURICH FOOT CLINIC
  • Address: 950 W MAIN ST
    SUITE 105
    LAKE ZURICH, IL
    ZIP 60047
  • Phone: (847) 540-0234

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NPI Details

LAKE ZURICH PODIATRY PC is a podiatrist in Lake Zurich, 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. LAKE ZURICH PODIATRY PC NPI is 1477679397. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Zurich Foot Clinic.

The provider's business location address is:

950 W MAIN ST
SUITE 105
LAKE ZURICH, IL
ZIP 60047-417
Phone: (847) 540-0234
Fax: (847) 540-0867

The provider's authorized official is Elizabeth Jean Sosinski .
The authorized official title is President and has the following contact phone number (847) 540-0234.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 10/20/2014.

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
1213E00000XPodiatrist016-003263ILLINOISYes

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
104927332OTHERBLUE CROSS BLUE SHIELD
2480001414OTHERRAILROAD MEDICARE PTAN
3DG9348OTHERILLINOISRAILROAD MEDICARE GROUP PTAN
4211857MEDICARE ID-TYPE UNSPECIFIED
50241010001MEDICARE NSC

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: 3/30/2025

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