| Organization Name: | DAVID B HILTZIK PC |
| NPI Number: | 1073765970 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID B HILTZIK (PRES) |
| Mailing Address: | 1121 W Greenwood Ave Waukegan |
| State: | IL US |
| Postal Code: | 600874919 |
| Phone Number: | 8473363338 |
| Fax Number: | 8473360683 |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 016-004380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |