Buranosky, Dale J.
Buranosky, Dale J. is an individual health care provider with primary practice located at 1259 Rickert Dr Ste 101 , Naperville IL 60540-8904. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Buranosky, Dale J. can be contacted via phone (630) 510-6929.Contact Information
Primary practice address
1259 Rickert Dr Ste 101
Naperville IL 60540-8904
Phone: (630) 510-6929
Fax: (630) 851-1756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016004820 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 016004820 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004820 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 016004820 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004820 | Illinois |
Profile Details
| NPI number | 1700872595 |
|---|---|
| LBN Legal business name | Buranosky, Dale J. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700872595 | NPPES |
| Illinois | MEDICAID | 016004820 | |
| Illinois | Other | 200027778 |
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