Suburban Podiatry Ltd. | |
2200 W Higgins Rd Ste 230 Hoffman Estates IL 60169-2400 | |
(847) 884-8863 | |
(847) 310-4695 |
Full Name | Suburban Podiatry Ltd. |
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Speciality | Clinic/Center |
Location | 2200 W Higgins Rd Ste 230, Hoffman Estates, Illinois |
Authorized Official Name and Position | William Alan Czarnecki (OWNER) |
Authorized Official Contact | 8478848863 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suburban Podiatry Ltd. 2200 W Higgins Rd Ste 230 Hoffman Estates IL 60169-2400 Ph: () - | Suburban Podiatry Ltd. 2200 W Higgins Rd Ste 230 Hoffman Estates IL 60169-2400 Ph: (847) 884-8863 |
NPI Number | 1952615627 |
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Provider Enumeration Date | 08/04/2010 |
Last Update Date | 01/03/2013 |
Medicare PECOS PAC ID | 2567662968 |
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Medicare Enrollment ID | O20110209000824 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952615627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | William A Czarnecki |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285690982 PECOS PAC ID: 6406036375 Enrollment ID: I20110209000857 |
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