NATALIE J. PODBOY PA-C NPI 1720177017

NPI Information

NPI: 1720177017
Provider Name: NATALIE J. PODBOY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Phone: (312) 243-4244
Get Directions

Natalie J. Podboy, PA-C is a surgical physician assistant in Chicago, IL. Natalie J. Podboy, PA-C NPI is 1720177017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612-841
Phone: (312) 243-4244
Fax: (312) 942-1517

The enumeration date for this NPI number is 10/12/2006 and was last updated on 11/24/2009.

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
1	363AS0400X	Physician Assistant	Surgical	085002832	ILLINOIS	Yes

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
1	209119	OTHER	ILLINOIS	MEDICARE PTAN LOCALITY 16
2	K30756	MEDICARE PIN	ILLINOIS
3	209118	OTHER	ILLINOIS	MEDICARE PTAN LOCALITY 15
4	K30757	MEDICARE PIN	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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