Mcdermott Podiatry Of Joliet
LBN: Mcdermott Podiatry Of Joliet Pc
Mcdermott Podiatry Of Joliet is an health care organization with primary practice located at 14532 John Humphrey Dr , Orland Park IL 60462-2640. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Mcdermott Podiatry Of Joliet Pc can be contacted via phone (708) 403-1611, or through Mcdermott, Michael via phone (708) 403-1611.
Contact Information
Primary practice address
14532 John Humphrey Dr
Orland Park IL 60462-2640
Phone: (708) 403-1611
Fax: (708) 403-1650
Website:
Authorized official contact:
Name: Mcdermott, Michael Doctor of Podiatric Medicine (DPM)
Phone: (708) 403-1611
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004034 | Illinois |
Profile Details
| NPI number | 1598068850 |
|---|---|
| LBN Legal business name | Mcdermott Podiatry Of Joliet Pc |
| DBA Doing business as | Mcdermott Podiatry Of Joliet |
| Authorized official | Mcdermott, Michael Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2010 |
| Last updated | Dec 15th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598068850 | NPPES |
| Illinois | Other | IL4307 | MEDICARE PTAN |
| Illinois | MEDICAID | 016004034 | MEDICARE PTAN |
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