Nicholas Aleksei Podkowirow, DPM | |
950 W Il Route 22 Ste 105, Lake Zurich, IL 60047-3419 | |
(847) 540-0234 | |
(847) 540-0867 |
Full Name | Nicholas Aleksei Podkowirow |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 9 Years |
Location | 950 W Il Route 22 Ste 105, Lake Zurich, 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 |
---|---|---|---|
1730614124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016005829 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Zurich Podiatry Pc | 0547206419 | 2 |
Provider Name | Lake Zurich Podiatry Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477679397 PECOS PAC ID: 0547206419 Enrollment ID: O20050630000406 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Aleksei Podkowirow, DPM 950 W Il Route 22 Ste 105, Lake Zurich, IL 60047-3419 Ph: (847) 540-0234 | Nicholas Aleksei Podkowirow, DPM 950 W Il Route 22 Ste 105, Lake Zurich, IL 60047-3419 Ph: (847) 540-0234 |
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