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Contact Information

BANDYK PODIATRY
18503 TORRENCE AVE
LANSING, IL60438
 Phone: 708-474-1900
 Fax: 708-474-1037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BANDYK PODIATRY · (Female)

NPI Number 1669644548
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2008
Last updated 06/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 016-004010
  • IL Medicaid 016004010
  • Other 4800148821 RAILROAD MEDICARE
  • IL Other 6000 1 555 BLUECROSS BLUESHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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