Dale Brink (NPI# 1093722365, PAC ID# 6204720600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1093722365 |
PAC ID by PECOS | 6204720600 |
Professional Enrollment ID | I20040211000373 |
Full Name | Dale Brink |
Organization Legal Name | PERFORMANCE FOOT AND ANKLE CENTER, LLC |
Address |
15300 W Ave Suite 210 Orland Park IL 60462-4686 |
Phone Number | 7088739440 |
Gender | M |
Credential | DPM |
Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1992 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 7517850902 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140191 | INGALLS MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
15300 W Ave, Suite 210, Orland Park, IL 60462-4686 | 7088739440 | PERFORMANCE FOOT AND ANKLE CENTER, LLC |
401 E 162nd St, Suite 101, South Holland, IL 60473-2237 | 7085963757 | PERFORMANCE FOOT AND ANKLE CENTER, LLC |
Organization Legal Name | PERFORMANCE FOOT AND ANKLE CENTER, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian C Wittmayer | Podiatry | Performance Foot and Ankle Center, LLC | 401 E 162nd St, Suite 101, South Holland, IL 60473-2237 |
Timothy J Krygsheld | Podiatry | Performance Foot and Ankle Center, LLC | 15300 W Ave, Suite 210, Orland Park, IL 60462-4686 |
Vivek Patel | Podiatry | Performance Foot and Ankle Center, LLC | 401 E 162nd St, Suite 101, South Holland, IL 60473-2237 |
Street Address |
15300 W AVE SUITE 210 |
City | ORLAND PARK |
State | IL |
Zip | 60462-4686 |
Name | Specialty | Organization | Address |
---|---|---|---|
Debora J Ellis | Nurse Practitioner | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Tamer Refaat Abdelrhman | Radiation Oncology | South Campus Partners Inc | 15300 W Ave, Bldg A, Orland Park, IL 60462-4600 |
Robert F Lindgren | Obstetrics/gynecology | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Valerie R Giannini | Nurse Practitioner | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Maureen T Mcshane | Podiatry | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Joy Mattson-petrusha | Registered Dietitian Or Nutrition Professional | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Kathryn Kristine Kusnik | Occupational Therapy | Jerry Chow Md Ltd | 15300 W Ave, Suite 310, Orland Park, IL 60462-4687 |
Eugenia Kyriakopoulos | Family Medicine | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
Michael Tomblyn | Radiation Oncology | South Campus Partners Inc | 15300 W Ave, Bldg A, Orland Park, IL 60462-4600 |
Jon Randal Jester | Diagnostic Radiology | Palos Imaging LLC | 15300 W Ave, Suite 100, Orland Park, IL 60462-4600 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mollie Basic | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 13125 S La Grange Rd, Orland Park, IL 60462-1162 |
Joshua Figlewicz | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 13125 S La Grange Rd, Orland Park, IL 60462-1162 |
Joanne Stankiewicz | Psychologist, Clinical | 13500 Circle Dr, Suite 201, Orland Park, IL 60462-1343 | |
Araceli Feria | Family Medicine | 13616 Arrowhead Ct, Orland Park, IL 60462-1747 | |
Paul M Sullivan | Chiropractic | Orland Park Chiropractic Ltd | 10751 W 143rd St, Orland Park, IL 60462-1900 |
Stephen A Zasadny | Chiropractic | Orland Park Chiropractic Ltd | 10751 W 143rd St, Orland Park, IL 60462-1900 |
Cynthia A Sink | Podiatry | 10760 W 143rd St, Suite 60, Orland Park, IL 60462-1920 | |
Neil Malhotra | Anesthesiology | Expert Pain Physicians LLC | 10750 W 143rd St, Suite 50, Orland Park, IL 60462-1929 |
Nitin Malhotra | Pain Management | Expert Pain Physicians LLC | 10750 W 143rd St, Suite 50, Orland Park, IL 60462-1929 |
Anne Hodson Wiley | Psychologist, Clinical | Neurobehavioral Associates PC | 10730 W 143rd St, Suite 37, Orland Park, IL 60462-1940 |
Find all physicians in zip 60462 |
City | ORLAND PARK |
Zip Code | 60462 |
Specialty | PODIATRY |
City + Specialty | ORLAND PARK + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.