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PODIATRY CENTER SC NPI 1548381825


NPI Information

NPI: 1548381825
Provider Name: PODIATRY CENTER, SC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
30 N MICHIGAN AVE
SUITE 1129
CHICAGO, IL
ZIP 60602
Phone: (312) 372-0919
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PODIATRY CENTER, SC is a podiatric clinic center in Chicago, IL. PODIATRY CENTER, SC NPI is 1548381825. The provider is registered as an organization entity type.

The provider's business location address is:

30 N MICHIGAN AVE
SUITE 1129
CHICAGO, IL
ZIP 60602-402
Phone: (312) 372-0919

The provider's authorized official is John M. Wray .
The authorized official title is President and has the following contact phone number (312) 372-0919.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatricYes

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: 11/14/2023

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