NPI 1073674081 · live from the CMS NPI Registry
Brian E Bacardi, DPM
Podiatrist, Primary Podiatric Medicine in Chicago, IL. National Provider Identifier 1073674081, active.
NPI record
| NPI | 1073674081 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Primary Podiatric Medicine 213EP1101X |
| Practice location | 3319 N Elston Ave, Suite 100, Chicago, IL 60618 |
| Practice phone | 773-751-7200 |
| Enumerated | December 13, 2006 |
| Last updated | May 8, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine primary | 213EP1101X | 016003631 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.