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Contact Information

FAMILY PODIATRY OF DEKALB INC
1675 BETHANY RD
STE B
SYCAMORE, IL60178-3124
 Phone: 815-899-2575
 Fax: 815-899-2581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FAMILY PODIATRY OF DEKALB INC

NPI Number 1316117799
LBN Legal business name FAMILY PODIATRY OF DEKALB INC
Authorized official NEIL LEVIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2008
Last updated 07/03/2012 - About 14 years ago
Identifiers
IL License # 016003556
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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