Dr Dale Steven Brink, DPM, FACFAS | |
401 E 162nd St Ste 101, South Holland, IL 60473-2237 | |
(708) 596-3757 | |
(708) 596-3779 |
Full Name | Dr Dale Steven Brink |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 32 Years |
Location | 401 E 162nd St Ste 101, South Holland, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093722365 | NPI | - | NPPES |
016004747 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-004747 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ingalls Memorial Hospital | Harvey, IL | Hospital |
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Chicago | 7719899426 | 1157 |
University Of Chicago | 7719899426 | 1157 |
Provider Name | University Of Chicago |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Provider Name | The University Of Chicago Medical Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Provider Name | Performance Foot And Ankle Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750397428 PECOS PAC ID: 7517850902 Enrollment ID: O20040209000172 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale Steven Brink, DPM, FACFAS 401 E 162nd St Ste 101, South Holland, IL 60473-2237 Ph: (708) 596-3757 | Dr Dale Steven Brink, DPM, FACFAS 401 E 162nd St Ste 101, South Holland, IL 60473-2237 Ph: (708) 596-3757 |
Dr. Timothy J Krygsheld, DPM, FACFAS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 E 162nd St Ste 101, South Holland, IL 60473 Phone: 708-596-3757 Fax: 708-596-3779 | |
Dr. Brian C. Wittmayer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 E. 162nd St, Suite 101, South Holland, IL 60473 Phone: 708-596-3757 Fax: 708-596-3779 | |
Vivek Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 E 162nd St, Suite 101, South Holland, IL 60473 Phone: 708-596-3757 | |
Performance Foot And Ankle Center Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 401 E 162nd St, Suite 101, South Holland, IL 60473 Phone: 708-596-3757 Fax: 708-596-3779 |