Organization · Type 2 NPI
Northwest Indiana Podiatry Clinic, LLC
Foot & Ankle Surgery Podiatrist · Highland, IN
NPI number
1609072677
Active
Practice location
3100 45th Ave
Highland, IN 46322
Fax (219) 923-4594
Mailing address
9933 S Western Ave, Suite 102
Chicago, IL 60643-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Assistant | 211D00000X | None listed |
| Podiatrist | 213E00000X | None listed |
| Public Medicine Podiatrist | 213EP0504X | None listed |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | None listed |
| Radiology Podiatrist | 213ER0200X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Foot Surgery Podiatrist | 213ES0131X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1609072677
Northwest Indiana Podiatry Clinic, LLC's National Provider Identifier is 1609072677, issued on Jun 26, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Highland, IN. The record was last updated on Nov 12, 2009.