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Contact Information

NORTHERN ILLINOIS PODIATRY PC
521 W MAIN ST
FREEPORT, IL61032
 Phone: 815-233-0211
 Fax: 815-233-0214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NORTHERN ILLINOIS PODIATRY PC

NPI Number 1740495944
LBN Legal business name NORTHERN ILLINOIS PODIATRY PC
Authorized official RONALD DICKEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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