Brian C Wittmayer (NPI# 1174671333, PAC ID# 8820181548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1174671333 |
| PAC ID by PECOS | 8820181548 |
| Professional Enrollment ID | I20070911000324 |
| Full Name | Brian C Wittmayer |
| Organization Legal Name | PERFORMANCE FOOT AND ANKLE CENTER, LLC |
| Address |
401 E 162nd St Suite 101 South Holland IL 60473-2237 |
| Phone Number | 7085963757 |
| Gender | M |
| Graduation Year | 2004 |
| 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 |
| 140062 | PALOS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 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 |
|---|---|---|---|
| Dale Brink | Podiatry | Performance Foot and Ankle Center, LLC | 15300 W Ave, Suite 210, Orland Park, IL 60462-4686 |
| 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 |
401 E 162ND ST SUITE 101 |
| City | SOUTH HOLLAND |
| State | IL |
| Zip | 60473-2237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek Patel | Podiatry | Performance Foot and Ankle Center, LLC | 401 E 162nd St, Suite 101, South Holland, IL 60473-2237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Van Vossen | Physical Therapy | Trademark Performance Corporation | 15800 State St, South Holland, IL 60473-1200 |
| Kumar D Moolayil | Psychiatry | 15475 S Park, 102a, South Holland, IL 60473-1378 | |
| Cheryl M Saafir | Psychologist, Clinical | 15475 S Park Ave, Suite 104, South Holland, IL 60473-1378 | |
| Jerry L Jensen | Family Medicine | 15525 S Park Ave, Suite 113, South Holland, IL 60473-1380 | |
| Shermana Danielle Snow | Clinical Social Worker | Rejuvenate Therapy and Healthcare | 16000 Wabash Ave, Windmill Nursing Pavilion Ltd, South Holland, IL 60473-1464 |
| Julieta Lasala | Family Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Shweta H Gandhi | Family Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Lawrence A Okafor | Internal Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Natalia Alina Szaflarski | Internal Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Baroukh Radfar | Pediatric Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Find all physicians in zip 60473 | |||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
| Specialty | PODIATRY |
| City + Specialty | SOUTH HOLLAND + PODIATRY |
Please comment or provide details below to improve the information on Brian C Wittmayer.
| 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.