Organization Name: | PREFERRED PODIATRY GROUP PC |
NPI Number: | 1720037138 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE S MICHAEL (GENERAL COUNSEL) |
Mailing Address: | 425 Huehl Rd Unit 13 Northbrook |
State: | IL US |
Postal Code: | 600622319 |
Phone Number: | 8475045000 |
Fax Number: | 8475045015 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |