Premier Podiatry Services, Ltd
LBN: Premier Podiatry Services, Ltd
Premier Podiatry Services, Ltd is an health care organization with primary practice located at 7126 N Lincoln Ave , Lincolnwood IL 60712-2234. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Premier Podiatry Services, Ltd can be contacted via phone (773) 866-9800, or through Paholak, Thomas Daniel via phone (773) 866-9800.
Contact Information
Primary practice address
7126 N Lincoln Ave
Lincolnwood IL 60712-2234
Phone: (773) 866-9800
Fax: (773) 866-1733
Website:
Authorized official contact:
Name: Paholak, Thomas Daniel Doctor of Podiatric Medicine (DPM)
Phone: (773) 866-9800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1528250669 |
|---|---|
| LBN Legal business name | Premier Podiatry Services, Ltd |
| DBA Doing business as | |
| Authorized official | Paholak, Thomas Daniel Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Apr 25th, 2023 - 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 | 1528250669 | NPPES |
| Illinois | Other | 1208030001 | ADMINISTAR |
| Illinois | MEDICAID | 016004340 | ADMINISTAR |
| Illinois | Other | 0001623503 | ADMINISTAR |
| Illinois | Other | CG8029 | ADMINISTAR |
| Illinois | Other | 5410292 | ADMINISTAR |
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