NORTHWEST PODIATRY CENTER (NPI# 1356721500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356721500 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PODIATRY CENTER |
| Practice Address |
3254 Sycamore Rd Dekalb IL 60115-9621 |
| Practice Telephone | 8157569491 |
| Practice Fax Number | 8157569442 |
| Mailing Telephone | 8157569491 |
| Mailing Fax Number | 8157569442 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-04-22 |
| Authorized Official Name | GREGORY C. BRYNICZKA (PRESIDENT) |
| Authorized Official Telephone | 8157569491 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 016-002778 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720538879 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 13312 Village Green Dr, Huntley, IL 60142-8027 | 2016-10-12 |
| 1144600305 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 234 Randall Rd, South Elgin, IL 60177-2274 | 2015-06-03 |
| 1881074193 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 7954 Oakton Avenue, Niles, IL 60714 | 2015-06-02 |
| 1417337825 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Suite 101, Aurora, IL 60504-7514 | 2015-06-02 |
| 1841679354 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 403 W Irving Park Rd, Streamwood, IL 60107-2851 | 2015-05-29 |
| 1063690741 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 705 Warrenville Rd, Unit B, Wheaton, IL 60189-6379 | 2008-02-05 |
| Street Address |
3254 SYCAMORE RD |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861756090 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1022 W. Lincoln Hwy, Dekalb, IL 60115-3020 | 2012-07-03 |
| 1336219419 | Lehan Drugs Inc | Durable Medical Equipment & Medical Supplies | 1407 S 4th St, Dekalb, IL 60115-4605 | 2006-11-08 |
| 1255346425 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 W Lincoln Hwy, Dekalb, IL 60115-3678 | 2006-07-29 |
| 1043232853 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2555 Sycamore Rd, Dekalb, IL 60115-2051 | 2006-07-24 |
| 1356368617 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2300 Sycamore Rd, Dekalb, IL 60115-2067 | 2006-07-16 |
| 1306871561 | Save Mart Pharmacy | Durable Medical Equipment & Medical Supplies | 136 N Centre, Dekalb, TX 75559 | 2006-07-12 |
| 1568418234 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1322 Sycamore Rd, Dekalb, IL 60115 | 2006-05-25 |
| 1922620319 | Aperion Care Dekalb LLC | Durable Medical Equipment & Medical Supplies | 1212 S 2nd St, Dekalb, IL 60115-4435 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.