Organization · Type 2 NPI

Northwest Indiana Podiatry Clinic, LLC

Foot & Ankle Surgery Podiatrist · Whiting, IN

NPI number 1639375058 Active

Practice location

1534 119th St
Whiting, IN 46394-1733

Fax (219) 473-0018

Mailing address

9933 S Western Ave, Suite 102
Chicago, IL 60643-1810

Specialties and licenses

TaxonomyCodeLicense
Podiatric Assistant 211D00000XNone listed
Podiatrist 213E00000XNone listed
Public Medicine Podiatrist 213EP0504XNone listed
Primary Podiatric Medicine Podiatrist 213EP1101XNone listed
Radiology Podiatrist 213ER0200XNone listed
Sports Medicine Podiatrist 213ES0000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Foot Surgery Podiatrist 213ES0131XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

4 other providers at this address

About NPI 1639375058

Northwest Indiana Podiatry Clinic, LLC's National Provider Identifier is 1639375058, issued on Jun 22, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Whiting, IN. The record was last updated on Nov 12, 2009.