Willowbrook Podiatry Inc

LBN: Willowbrook Podiatry Inc
Willowbrook Podiatry Inc is an health care organization with primary practice located at 62 63Rd St , Willow Brook IL 60527-2982. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Willowbrook Podiatry Inc can be contacted via phone (630) 887-9221, or through Lantvit, Timothy via phone (630) 887-9221.

Contact Information

Primary practice address
62 63Rd St Willow Brook IL 60527-2982
Phone: (630) 887-9221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lantvit, Timothy Doctor of Podiatric Medicine (DPM)
Phone: (630) 887-9221

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 004656 Illinois

Profile Details

NPI number 1932167228
LBN Legal business name Willowbrook Podiatry Inc
DBA Doing business as
Authorized official Lantvit, Timothy Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jun 15th, 2010 - about 14 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 1932167228 NPPES
Other 0732240001 DMERC # WITH PPG
Other DG8105 DMERC # WITH PPG
Other 0002219563 DMERC # WITH PPG
MEDICAID 016004656 DMERC # WITH PPG
MEDICAID 200136470A DMERC # WITH PPG

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