PREMIER PODIATRY SERVICES LTD NPI 1528250669

NPI Information

  • NPI: 1528250669
  • Provider Name: PREMIER PODIATRY SERVICES, LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 7126 N LINCOLN AVE
    LINCOLNWOOD, IL
    ZIP 60712
  • Phone: (773) 866-9800

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NPI Details

PREMIER PODIATRY SERVICES, LTD is a podiatrist in Lincolnwood, 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. PREMIER PODIATRY SERVICES, LTD NPI is 1528250669. The provider is registered as an organization entity type.

The provider's business location address is:

7126 N LINCOLN AVE
LINCOLNWOOD, IL
ZIP 60712-234
Phone: (773) 866-9800
Fax: (773) 866-1733

The provider's authorized official is Thomas Daniel Paholak .
The authorized official title is President and has the following contact phone number (773) 866-9800.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 4/25/2023.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2213E00000XPodiatristYes

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
11208030001OTHERILLINOISADMINISTAR
2016004340MEDICAIDILLINOIS
30001623503OTHERILLINOISBCBS
4CG8029OTHERILLINOISRAILROAD MEDICARE
55410292OTHERILLINOISCIGNA

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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