Preferred Podiatry Group Pc

LBN: Preferred Podiatry Group Pc
Preferred Podiatry Group Pc is an health care organization with primary practice located at 40 Skokie Blvd Ste 520 , Northbrook IL 60062-1601. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Preferred Podiatry Group Pc can be contacted via phone (847) 504-5007, or through Michael, Melanie via phone (847) 504-5002.

Contact Information

Primary practice address
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601
Phone: (847) 504-5007
Fax: (844) 443-0082
Website:
Map and Directions
Authorized official contact:
Name: Michael, Melanie
Phone: (847) 504-5002

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 060005901 Illinois

Profile Details

NPI number 1871940882
LBN Legal business name Preferred Podiatry Group Pc
DBA Doing business as
Authorized official Michael, Melanie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2016
Last updated Oct 15th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871940882 NPPES
Missouri MEDICAID 504482407

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